Mr Keegan Patrick Davis, is a
Psychologist - Clinical based in Fresno, California. Mr Keegan Patrick Davis is licensed to practice in California (license number 94028803) and his current practice location is
1361 N Farris Ave, Fresno, California. He can be reached at his office (for appointments etc.) via phone at
(559) 708-7704.
NPI number for Mr Keegan Patrick Davis is 1376909390 and his current mailing address is 1361 N Farris Ave, Fresno, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376909390.
Healthcare Provider's Profile
Full Name | Mr Keegan Patrick Davis |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 1361 N Farris Ave, Fresno, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376909390
- Provider Enumeration Date: 01/06/2016
- Last Update Date: 05/02/2025
Medical Identifiers
Medical identifiers for Mr Keegan Patrick Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376909390 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 9012 (California) | Secondary |
103TC0700X | Psychologist - Clinical | 94028803 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Keegan Patrick Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Keegan Patrick Davis, 1361 N Farris Ave, Fresno, CA 93728-1519 Ph: (559) 708-7704 | Mr Keegan Patrick Davis, 1361 N Farris Ave, Fresno, CA 93728-1519 Ph: (559) 708-7704 |
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