KELLEY DAVIS, D.O., P.A.
NPI 1477589059
Specialist in Dallas, TX

Active since June 24, 2006
1251A E RED BIRD LN, DALLAS, TX 75241(214) 307-0827(214) 307-0927 Get Directions Write a Review

NPPES record last updated: November 30, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelley Davis, D.o., P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLEY DAVIS, D.O., P.A. (NPI 1477589059) is a healthcare organization registered as a specialist in Dallas, Texas and active in the NPI registry since June 2006. The organization lists Kelley Michelle Davis, President, as its authorized official.

NPPES Registry Identity

NPI1477589059
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKELLEY DAVIS, D.O., P.A.
Location Address1251A E RED BIRD LNDallas, TX 75241-2008
Mailing Address1251a E Red Bird LnDallas, TX 75241-2008 · (214) 307-0827 · Fax (214) 307-0927
Fax(214) 307-0927
Organization SubpartNo
Authorized OfficialKelley Michelle DavisPresident · (214) 374-0827
Enumeration DateJune 24, 2006
Last NPPES UpdateNovember 30, 2007
NPI 1477589059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TX · L8319
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1251A E RED BIRD LN, Dallas, TX 75241

Other Identifiers 2

Medicare PIN00W614TX
Other11568320TX · Caqh

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1251A E RED BIRD LN
DALLAS, TX 75241
Specialist
1251A E RED BIRD LN
DALLAS, TX 75241

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelley Davis, D.O., P.A.'s NPI number?

The NPI number for Kelley Davis, D.O., P.A. is 1477589059. It was assigned to this organization in the NPPES registry on June 24, 2006.

Where is Kelley Davis, D.O., P.A. located?

Kelley Davis, D.O., P.A. is located at 1251A E Red Bird Ln, Dallas, TX 75241. The listed phone number is (214) 307-0827.

What is Kelley Davis, D.O., P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kelley Davis, D.O., P.A. was last updated on November 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.