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NPI Code Detail

MEDICARE: KIMBERLY DAVIS CNP

MEDICARE: KIMBERLY DAVIS CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse Practitioner1068773TX
2363LP2300XPrimary Care Nurse Practitioner76248OK

General Provider Information

NPI Number : 1942737374
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY DAVIS CNP
Provider Business Mailing Address
First Line : 2424 SPRINGER DR STE 102
Second Line :
City : NORMAN
State : OK
Zip : 73069-3966
Country : US
Telephone Number : 405-216-3747
Fax Number : 405-339-0377
Provider Business Practice Location Address
First Line : 1800 TEAGUE DR STE 219
Second Line :
City : SHERMAN
State : TX
Zip : 75090-2640
Country : US
Telephone Number : 903-357-5320
Fax Number : 903-242-8750
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2017
Last Update Date : 03/05/2026

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Directions to “ KIMBERLY DAVIS CNP” Practice Location

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