NPI

Kevin Lee Davis

NPI 1750739405

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
PA-C
Type
Individual
Enumeration date
2016-06-02
Last updated
2024-07-22

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Specialties

Licenses

License TX
PA10658

Location

Practice location
1306 13th St
City
Bridgeport TX
Postal code
76426-2454
Phone
(940) 648-1402

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.

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Nearby

Other NPIs in Bridgeport, TX. 103 records in the public file.

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