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Contact Information

KIM G DAVIS, ARNP
118 W. 4TH
LEBO, KS66856
 Phone: 620-256-6346
 Fax: 620-256-6219
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KIM G DAVIS · (Female)

NPI Number 1588624381
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 03/24/2006
Last updated 12/19/2019 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 45161
  • KS Medicaid 100428830D
  • KS Medicaid 100428830E
  • KS Other 161507 BCBS
  • KS Other 068002265 MEDICARE PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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