Kimberly Diane Davis, DO is a student in an organized health care education training program in Manchester, CT. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Kimberly Diane Davis, DO NPI is 1639791379. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
130 HARTFORD ROAD
MANCHESTER, CT
ZIP 06040
Phone: (860) 533-4679
Fax: (860) 645-4151
The NPI 1639791379 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/15/2020 and was last updated on 5/15/2020.