Individual
KIMBERLY DAWN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
291 E 2ND ST, BECKEMEYER, IL 62219-4202
(618) 484-9030
Mailing address
291 E 2ND ST, BECKEMEYER, IL 62219-4202
(618) 484-9030
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.029711
IL
Other
Enumeration date
05/23/2024
Last updated
06/19/2024
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