Davis, Kristy K

Davis, Kristy K is an individual health care provider with primary practice located at 13813 Metro Pkwy , Fort Myers FL 33912-4343. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Davis, Kristy K can be contacted via phone (239) 936-1343.

Contact Information

Primary practice address
13813 Metro Pkwy Fort Myers FL 33912-4343
Phone: (239) 936-1343
Fax: (239) 936-8507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS16295 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101009027 Michigan

Profile Details

NPI number 1619936945
LBN Legal business name Davis, Kristy K
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Dec 9th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619936945 NPPES
Michigan MEDICAID 113418332

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