Individual
KIMBERLY DIANE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
13 CHURCH RD, EAST GRANBY, CT 06026-9406
(860) 653-4526
(833) 471-6186
Mailing address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 533-4679
(860) 645-4151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
75672
CT
Other
Enumeration date
05/15/2020
Last updated
01/23/2025
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