Provider Demographics
NPI:1346403672
Name:DAVIS, KEVIN AUGUST (MD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:AUGUST
Last Name:DAVIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:480 BEDFORD RD STE 4202
Mailing Address - Street 2:
Mailing Address - City:CHAPPAQUA
Mailing Address - State:NY
Mailing Address - Zip Code:10514-1716
Mailing Address - Country:US
Mailing Address - Phone:914-666-8866
Mailing Address - Fax:914-666-6777
Practice Address - Street 1:200 W 13TH ST FL 4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-7702
Practice Address - Country:US
Practice Address - Phone:929-292-3700
Practice Address - Fax:646-465-3203
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2023-03-05
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Provider Licenses
StateLicense IDTaxonomies
CAA118400207L00000X
NY263380207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology