Individual
KIMBERLY A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
15190 COMMUNITY RD, SUITE 230A, GULFPORT, MS 39503-3485
(228) 831-0204
(228) 831-1868
Mailing address
3819 POINT CLEAR DR, OCEAN SPRINGS, MS 39564-8194
(228) 831-0204
(228) 831-1868
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R867487
MS
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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