Provider Type Icon

DR. RUSSELL KELSO DAVIS D.C. NPI 1982607966


NPI Information

NPI: 1982607966
Provider Name: DR. RUSSELL KELSO DAVIS, D.C.
Classification: Chiropractor - 111NS0005X
Entity Type: Individual

Specialization: Sports Physician

Address:
318 E. MAIN ST.
HAVELOCK, NC
ZIP 28532
Phone: (252) 444-3377
Get Directions

DR. Russell Kelso Davis, D.C. is a sports physician chiropractor in Havelock, NC with 24 years of experience. The provider is a sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. DR. Russell Kelso Davis, D.C. NPI is 1982607966. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduation Year:2000

The provider's business location address is:

318 E. MAIN ST.
HAVELOCK, NC
ZIP 28532-214
Phone: (252) 444-3377
Fax: (252) 444-3529

The enumeration date for this NPI number is 5/24/2005 and was last updated on 5/17/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111NS0005XChiropractorSports Physician2801NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1616120OTHERNORTH CAROLINAACN IDENTIFICATION #
20844VOTHERNORTH CAROLINABCBS PROVIDER #
3U80827MEDICARE UPINNORTH CAROLINA
47167352OTHERNORTH CAROLINAAETNA PROVIDER #
5890844VMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.