Davis, Kimberly Ann

Davis, Kimberly Ann is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06030-2204. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Davis, Kimberly Ann can be contacted via phone (860) 679-8300.

Contact Information

Primary practice address
263 Farmington Ave Farmington CT 06030-2204
Phone: (860) 679-8300
Fax: (860) 679-8344
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 22036 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 5142 Connecticut

Profile Details

NPI number 1780928861
LBN Legal business name Davis, Kimberly Ann
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2012
Last updated Aug 4th, 2025 - about last year

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 1780928861 NPPES
South Carolina MEDICAID NP5496

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