Individual
MRS. KIMBERLY LOIS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2973 MANCHESTER RD, MANCHESTER, MD 21102-1802
(410) 374-4747
Mailing address
2973 MANCHESTER RD, MANCHESTER, MD 21102-1802
(410) 374-4747
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R130076
MD
Other
Enumeration date
02/21/2018
Last updated
03/05/2018
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