Kelly Davis, OD

NPI 1649337106 · on the registry since 2007

Practice

Address: 500 Lincoln Dr
Suite A
Herrin, IL 62948
Phone: (618) 351-8900
Fax: (618) 351-0076
Organisation at this address: Logan Park Imaging Llc
Michaelis Jackson & Associates, Llc
Southern Illinois Hospital Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois