Individual
KIMBERLY JAN DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
70666
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070666
TUFTS
—
01
—
23286
FALLON COMMUNITY HEALTH
—
01
—
2927581
AETNA US HEALTHCARE
—
05
—
3088812
—
MA
01
—
6563914
CIGNA
—
01
—
E54939DF
HPHC DFCI ONLY
—
01
—
J10208
BCBS INDEMNITY ELECT HMO
MA
Enumeration date
03/01/2006
Last updated
08/13/2007
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