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Contact Information

KURT W DAVIS, DPM
2415 SE 165TH AVE
STE 104
VANCOUVER, WA98683
 Phone: 360-694-3668
 Fax: 360-882-3566
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KURT W DAVIS · (Male)

NPI # 1790721827
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/20/2006
Last updated 09/06/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # P000000682
  • WA Medicaid 1121235
  • WA Other 6444400001 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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