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Individual

KATHLEEN C. DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2675 CENTRAL AVE, BILLINGS, MT 59102-6686
(406) 238-2500
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 238-2500

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
5269
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000092100
BCBS PIN
MT
01
0011356
MDCD PIN
MT
01
102016100
MDCD PIN
WY
Enumeration date
09/06/2006
Last updated
12/03/2014
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