Dr. Larry Davis
MD | Pediatrics | Male
Dr. Larry Davis, MD is a Kenosha, Wisconsin based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Larry Davis is
6809 122nd Ave, Kenosha, Wisconsin - 53142-7335. He can be contacted on phone at
262-654-8633 and fax number 262-654-5467.
Dr. Larry Davis is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Larry Davis is
1699715888 which was assigned by NPPES on 07 Jun, 2006 and it was last updated on 01 Feb, 2019.
Dr. Larry Davis license number is
69544-20 for Pediatrics (208000000X) in Wisconsin.
Dr. Larry Davis is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Larry Davis basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Larry Davis |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Larry Davis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 6809 122nd Ave
Kenosha, WI, 53142-7335
United States |
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| Phone Number : | 262-654-8633 |
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| Fax Number : | 262-654-5467 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1699715888 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Jun, 2006 |
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| Last Updated On : | 01 Feb, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Larry Davis are as mentioned. Primary taxonomy code for Dr. Larry Davis, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 036-104343 | IL |
| 208000000X | Pediatrics | Yes | 69544-20 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Larry Davis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036104343 | MEDICAID | IL | |
| 1699715888 | MEDICAID | WI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 9000 W Wisconsin Ave # Ms 958
Milwaukee, WI, 53226-4874
United States |
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| Phone Number : | 414-266-7615 |
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| Fax Number : | 414-266-6238 |
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Business Location:
Patients can refer following map for directions to
Dr. Larry Davis practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.