IndividualActive
Kelly Davis, M.D.
NPI 1871554139 · Internal Medicine Physician · Wagoner, OK
Provider details
- NPI number
- 1871554139
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 23418 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1202 W Cherokee St Ste H
Wagoner, OK 74467-4629
Phone: (918) 614-5533
Fax: (918) 485-6020
Street-level locationGet directions
Mailing address
10907 S Knoxville Ave
Tulsa, OK 74137-6624
Registry dates
- Enumerated
- 2006-03-28
- Last updated
- 2022-10-14
- Certified
- 2022-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.