Kimberly D Davis, DO
Family Medicine in East Granby, Connecticut
1639791379- Practice location
- 13 Church RD, East Granby, CT 06026-9406
- Phone
- 860-653-4526
- Fax
- 833-471-6186
- Last updated
- January 23, 2025
Kimberly Diane Davis is a Family Medicine based in East Granby, CT. Kimberly Diane Davis practices in East Granby, CT and has the professional credentials of DO. The NPI Number for Kimberly Diane Davis is 1639791379 and holds a License No. 75672 (CT). The current practice location address for Kimberly Diane Davis is 13 Church RD, East Granby, CT 06026-9406 and can be reached out via phone at 860-653-4526 and via fax at 833-471-6186.
Provider Profile Details
- NPI Number
- 1639791379
- Provider Name
- Kimberly Diane Davis
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 13 Church RD, East Granby, CT 06026-9406
- Phone Number
- 860-653-4526
- Fax Number
- 833-471-6186
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 15, 2020
- Last Update Date
- January 23, 2025
- Certification Date
- January 23, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 13 Church RD
East Granby, CT 06026-9406 - City
- East Granby
- State
- Connecticut
- Zip
- 06026-9406
- Phone Number
- 860-653-4526
- Fax Number
- 833-471-6186
Provider Business Mailing Address Details
- Address
- 71 Haynes St
Manchester, CT 06040-4131 - City
- Manchester
- State
- CT
- Zip
- 06040-4131
- Phone Number
- 860-533-4679
- Fax Number
- 860-645-4151
License Information
- License Number
- 75672
- License State
- CT
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near East Granby, CT
View all Family Medicine providers in East Granby →- Alina Kluk, MDFamily Medicine · NPI 1063032977
- Dr. Daniel M Lerner, DOFamily Medicine · NPI 1700222817
- East Granby Family Practice LLCFamily Medicine · NPI 1154308229
- Khuram R Ghumman, MD, MPH, CPE, FAAFPFamily Medicine · NPI 1447384326
- Mr. David R Howlett, MDFamily Medicine · NPI 1760469829
- Mr. Edward M Ewald, MDFamily Medicine · NPI 1497732564
Frequently Asked Questions
What is the NPI number of Kimberly D Davis, DO?
The NPI number of Kimberly D Davis, DO is 1639791379. It was assigned on May 15, 2020 and is currently active in the NPPES registry.
What is the specialty of Kimberly D Davis, DO?
Kimberly D Davis, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 75672.
Where does Kimberly D Davis, DO practice?
The practice location is 13 Church RD, East Granby, CT 06026-9406. The office can be reached at 860-653-4526 (phone) or 833-471-6186 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639791379 directly on the NPPES registry website.