Individual
KIMBERLY NICHOLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 E FRANK PHILLIPS BLVD STE 300, BARTLESVILLE, OK 74006-2439
(918) 331-2415
Mailing address
3400 E FRANK PHILLIPS BLVD STE 702, BARTLESVILLE, OK 74006-2443
(918) 335-5000
(918) 331-2506
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2013021817
MO
Other
Enumeration date
04/16/2010
Last updated
06/29/2020
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