Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Larry Davis, MD

Individual provider Pediatrics Physician · NPI 1699715888

Dr. Larry Davis, MD is a Pediatrics Physician in Kenosha, Wisconsin. Licensed in Illinois and Wisconsin. Registered with an NPI since 2006.

Licensed in
IL, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6809 122nd Ave
Kenosha, WI 53142-7335
Phone: (262) 654-8633
Fax: (262) 654-5467
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 69544-20 (WI)
Pediatrics Physician Taxonomy 208000000X · Licence 036-104343 (IL)

Record details

NPI number1699715888
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2006
Last updated in NPPESFebruary 1, 2019
Mailing address9000 W Wisconsin Ave # Ms 958, Milwaukee, WI 53226-4874

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