Individual
KIMBERLY ANN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-2204
(860) 679-8300
(860) 679-8344
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-2204
(860) 679-8300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
22036
SC
363LA2200X
Adult Health Nurse Practitioner
Primary
5142
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5496
—
SC
Enumeration date
11/15/2012
Last updated
08/04/2025
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