# KRIS DAVIS, DC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417118498
- **Authorized official:** DR. KRIS I. DAVIS DC (DIRECTOR)
- **Authorized official phone:** (801) 475-1800

## Contact information

- **Practice address:** 1186 E 4600 S, STE. 220, OGDEN, UT 84403-4332
- **Practice address phone:** (801) 475-1800
- **Practice address fax:** (801) 475-0071
- **Mailing address:** PO BOX 150321, OGDEN, UT 84415-0321
- **Mailing address phone:** (801) 475-1800
- **Mailing address fax:** (801) 475-0071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 3376391202 | UT | Yes |

## Other

- **Enumeration date:** 06/23/2008
- **Last updated:** 06/23/2008
