Davis, Kristie L

Davis, Kristie L is an individual health care provider with primary practice located at 3500 E Frank Phillips Blvd , Bartlesville OK 74006-2411. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Davis, Kristie L can be contacted via phone (918) 331-1555.

Contact Information

Primary practice address
3500 E Frank Phillips Blvd Bartlesville OK 74006-2411
Fax: (918) 331-1695
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 29411 Oklahoma
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X C-7912 Arkansas

Profile Details

NPI number 1861471286
LBN Legal business name Davis, Kristie L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Mar 19th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861471286 NPPES
Arkansas MEDICAID 125536001

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