Individual
DR. KIMBERLY JO DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1174E GRAYSTONE WAY 15, SLC, UT 84106-2678
(801) 486-0875
(801) 486-0174
Mailing address
1174E GRAYSTONE WAY 15, SLC, UT 84106-2678
(801) 557-7785
(801) 486-0174
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6348762-1204
UT
Other
Enumeration date
04/30/2008
Last updated
05/28/2024
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