Organization
KRISTY K DAVIS DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY K DAVIS (SELF)
(269) 251-1064
Entity
Organization
Contact information
Practice address
916 MYRTLE ST, STURGIS, MI 49091-2326
(269) 251-1064
Mailing address
27100 MAHLE LANDING RD, STURGIS, MI 49091-9150
(269) 251-1064
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111992060
—
MI
Enumeration date
12/12/2007
Last updated
03/04/2019
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