Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LARRY DAVIS, MD
ActivePediatrics · KENOSHA, WI
Registration Details
- NPI Number
- 1699715888
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 7, 2006 (19.872595931196 yrs)
- Last Updated
- Feb 1, 2019
- Licenses
-
036-104343 (IL)69544-20 (WI)
Practice Information
- Address
-
6809 122ND AVEKENOSHA, WI, 531427335Browse WI providers · Browse ZIP 53142
- Phone
- 2626548633
- Fax
- 2626545467
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in KENOSHA, WI
| Name | Credential | NPI |
|---|---|---|
| DR. SHERYN ABRAHAM | M.D. | 1174527550 |
| JAYA V IYER | M.D. | 1326033671 |
| ANN MARIE SUNDARESON | M.D. | 1023003373 |
| CHRISTINE M JOLLY | M.D. | 1619962982 |
| ANDREW C LESLIE | M.D. | 1689669954 |
| GREGORY W YOUNG | M.D. | 1194710129 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.