| Ked Davis Md | |
|
1701 E North St Magnolia AR 71753-3204 | |
| (870) 234-3802 | |
| (870) 234-7386 |
| Full Name | Ked Davis Md |
|---|---|
| Speciality | Family Medicine |
| Location | 1701 E North St, Magnolia, Arkansas |
| Authorized Official Name and Position | Ked Davis (CEO) |
| Authorized Official Contact | 8702343802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ked Davis Md 1010 N Dudney Rd Suite A Magnolia AR 71753-2624 Ph: (870) 234-3802 | Ked Davis Md 1701 E North St Magnolia AR 71753-3204 Ph: (870) 234-3802 |
| NPI Number | 1316101058 |
|---|---|
| Provider Enumeration Date | 07/11/2008 |
| Last Update Date | 06/01/2021 |
| Medicare PECOS PAC ID | 9436217973 |
|---|---|
| Medicare Enrollment ID | O20081028000032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316101058 | NPI | - | NPPES |
| 1067832001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | AR-E-5314 (Arkansas) | Primary |
| Provider Name | Ked L Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699981894 PECOS PAC ID: 6709961410 Enrollment ID: I20080305000359 |
Fred Y Murphy Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 N Dudney Rd, Ste C, Magnolia, AR 71753 Phone: 870-234-7101 Fax: 870-234-7717 | |
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James Chambliss, Md, Pllc, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1327 N Washington, Magnolia, AR 71753 Phone: 870-235-1112 Fax: 870-235-1114 | |
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