Individual
DR. KIMBERLY DAVIS KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2808 S CROATAN HWY, STE C-1, NAGS HEAD, NC 27959-9024
(252) 449-5500
(252) 449-5501
Mailing address
PO BOX 1976, NAGS HEAD, NC 27959-1976
(252) 449-5500
(252) 449-5501
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9601644
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891004Q
—
NC
Enumeration date
09/02/2005
Last updated
02/28/2021
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