Individual
KIM C DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CFY-SLP
Contact information
Practice address
2300 W ALAMEDA ST APT A5, SANTA FE, NM 87507-9655
(505) 986-0950
Mailing address
2300 W ALAMEDA ST APT A5, SANTA FE, NM 87507-9655
(505) 986-0950
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-5172
NM
Other
Enumeration date
08/11/2012
Last updated
12/20/2024
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