Davis, Kim

Davis, Kim is an individual health care provider with primary practice located at 112 W Peeler Ave , Shaw MS 38773-8710. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Davis, Kim can be contacted via phone (662) 754-3301.

Contact Information

Primary practice address
112 W Peeler Ave Shaw MS 38773-8710
Phone: (662) 754-3301
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 904961 Mississippi

Profile Details

NPI number 1861150401
LBN Legal business name Davis, Kim
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2021
Last updated Dec 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers