person
Kimberly Diane Davis, DO
Student in an Organized Health Care Education/Training Program in Manchester, Connecticut
NPI 1639791379

Kimberly Diane Davis is a Student in an Organized Health Care Education/Training Program based in Manchester, CT. Kimberly Diane Davis practices in Manchester, CT and has the professional credentials of DO. The NPI Number for Kimberly Diane Davis is 1639791379 and holds a License No. (Connecticut).

The current practice location address for Kimberly Diane Davis is 130 Hartford Road, Manchester, CT and can be reached out via phone at 860-533-4679 and via fax at 860-645-4151. You can also correspond with Kimberly Diane Davis through the mailing address at 71 HAYNES ST, MANCHESTER, CT - 06040-4131 (mailing address contact number: 860-533-4679).

Location: 130 Hartford Road, Manchester, CT, 06040-4131
person
Provider Profile Details
NPI Number
1639791379
Provider Name
Kimberly Diane Davis
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
130 Hartford Road, Manchester, CT, 06040-4131
Phone Number
860-533-4679
Fax Number
860-645-4151
Provider Enumeration Date
05/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
130 Hartford Road
City
State
Zip
06040
Phone Number
860-533-4679
Fax Number
860-645-4151
person
Provider Business Mailing Address Details
Address
130 Hartford Road
City
State
Zip
06040
Phone Number
860-533-4679
Fax Number
860-645-4151
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
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.
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