Individual
KIM STOKES DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1544 SHELDON ST, SAINT PAUL, MN 55108-2331
(651) 646-3091
(651) 646-3124
Mailing address
7511 LAKE IDA WAY NW, ALEXANDRIA, MN 56308-9768
(320) 834-2313
(651) 646-3124
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 074029-2
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
026303
MN
Other
Enumeration date
07/26/2006
Last updated
09/11/2025
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