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:
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Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619961836 NPPES
North Carolina MEDICAID 891004Q

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