DR. LARRY DAVIS MD
NPI 1699715888
Pediatrics in Kenosha, WI

Q: What is Larry Davis's NPI number?

The NPI number for Larry Davis is 1699715888. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Q: What is Larry Davis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Larry Davis was last updated on February 1, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 07, 2006

6809 122ND AVE, KENOSHA, WI 53142(262) 654-8633(262) 654-5467 Get Directions Write a Review

NPPES record last updated: February 1, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 1, 2019, Jan 11, 2019 (2 updates tracked since 2019).

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About Dr. Larry Davis Md NPPES

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

DR. LARRY DAVIS MD (NPI 1699715888) is an individual pediatrics provider in Kenosha, Wisconsin, licensed in Wisconsin (69544-20) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1699715888

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. LARRY DAVISCredential: MD

Location Address6809 122ND AVEKenosha, WI 53142-7335

Mailing Address9000 W Wisconsin Ave # Ms 958Milwaukee, WI 53226-4874 · (414) 266-7615 · Fax (414) 266-6238

Phone(262) 654-8633

Fax(262) 654-5467

Sole ProprietorNo

Enumeration DateJune 7, 2006

Last NPPES UpdateFebruary 1, 20192 updates tracked since enumeration

✔ NPI 1699715888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in WI · 69544-20✔ Licensed in IL · 036-104343

Definition

A pediatrician 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.

6809 122ND AVE, Kenosha, WI 53142

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Other Identifiers 2

Medicaid036104343IL

Medicaid1699715888WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

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Other Providers at the Same Location NPPES 20

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

ANN MARIE SUNDARESON M.D.

Pediatrics