Keith, Kimberly Davis
Keith, Kimberly Davis is an individual health care provider with primary practice located at 2808 S Croatan Hwy Ste C-1, Nags Head NC 27959-9024. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Keith, Kimberly Davis can be contacted via phone (252) 449-5500.Contact Information
Primary practice address
2808 S Croatan Hwy Ste C-1
Nags Head NC 27959-9024
Phone: (252) 449-5500
Fax: (252) 449-5501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 9601644 | North Carolina |
Profile Details
| NPI number | 1619961836 |
|---|---|
| LBN Legal business name | Keith, Kimberly Davis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Feb 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619961836 | NPPES |
| North Carolina | MEDICAID | 891004Q |
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