| Doctor Name: | KEEVIN R DAVIS |
| NPI Number: | 1568480176 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 35046494 |
| Business Practice Address: | 3328 Princeton Road Hamilton, OH - 45011 |
| Business Phone Number: | 5138879400 |
| Business Fax Number: | 5138877512 |
| Mailing Address: | 3460 Davis Ln, CINCINNATI |
| State: | OH |
| Postal Code: | 452372402 |
| Phone Number: | 5134829291 |
| Fax Number: | 5133511547 |
| NPI Enumeration Date: | 07/18/2006 |
| NPI Last Update Date: | 02/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 35046494 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |