Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY VAN DAVIS, M.D.
ActiveKELLY VAN DAVIS, M.D. is a Internal Medicine healthcare provider located in WAGONER, Oklahoma. NPI 1871554139 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · WAGONER, OK
Registration Details
- NPI Number
- 1871554139
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2006 (20.411919138776 yrs)
- Last Updated
- Oct 14, 2022
- Licenses
-
23418 (OK)23418 (OK)23418 (OK)
Practice Information
- Address
-
1202 W CHEROKEE ST STE HWAGONER, OK, 744674629Browse OK providers · Browse ZIP 74467
- Phone
- 9186145533
- Fax
- 9184856020
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Rheumatology
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in WAGONER, OK
| Name | Credential | NPI |
|---|---|---|
| MRS. KAMMIE MARIE CALDWELL | M.D. | 1780663575 |
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.