NPI
Kelly Shea Davidson
NPI 1437508512
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- M.D.
- Type
- Individual
- Enumeration date
- 2016-06-08
- Last updated
- 2022-04-05
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Specialties
Licenses
- License FL
- ME155854
Location
- Practice location
- 307 Boatner Rd Ste 112
- City
- Eglin Afb FL
- Postal code
- 32542-1302
- Phone
- (850) 883-9394
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Eglin Afb, FL. 626 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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