Kimberly J Davis


Address: 10237 S Dimple Dell Rd, Sandy, UT 84092-4536

Kimberly J Davis (NPI# 1487820320, PAC ID# 5890849913) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1487820320
PAC ID by PECOS 5890849913
Professional Enrollment ID I20090824000465
Full Name Kimberly J Davis
Address 10237 S Dimple Dell Rd
Sandy
UT 84092-4536
Gender F
Medical School KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Graduation Year 2005
Primary Specialty FAMILY PRACTICE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
460051 JORDAN VALLEY MEDICAL CENTER
460058 RIVERTON HOSPITAL

Other Locations

Address Phone Organization
10237 S Dimple Dell Rd, Sandy, UT 84092-4536

Organization Information

Office Location

Street Address 10237 S DIMPLE DELL RD
City SANDY
State UT
Zip 84092-4536

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Name Specialty Organization Address
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Ellen H Guthrie Internal Medicine Ihc Health Services Inc Hwy 210 Little, Cottonwood Canyon, Snowbird, UT 84092
Michael B Noyes Emergency Medicine Ihc Health Services Inc Hwy 210 Little, Cottonwood Canyon, Snowbird, UT 84092
Nichole Cuddeback Certified Registered Nurse Anesthetist (crna) Utah Anesthesia, LLC 1393 E Sego Lily Dr, Suite 3, Sandy, UT 84092-4350
Robert Kyle Barnett Gastroenterology Granite Peaks Gi, LLC 1393 E Sego Lily Dr, Sandy, UT 84092-4350
Cheryl L Howard Certified Registered Nurse Anesthetist (crna) Utah Anesthesia, LLC 1393 E Sego Lily Dr, Suite 3, Sandy, UT 84092-4350
Jacob M Hunsaker Certified Registered Nurse Anesthetist (crna) Utah Anesthesia, LLC 1393 E Sego Lily Dr, Suite 3, Sandy, UT 84092-4350
Shane E Stockwell Certified Registered Nurse Anesthetist (crna) Utah Anesthesia, LLC 1393 E Sego Lily Dr, Suite 3, Sandy, UT 84092-4350
Angela L Salerno Certified Registered Nurse Anesthetist (crna) Utah Anesthesia, LLC 1393 E Sego Lily Dr, Suite 3, Sandy, UT 84092-4350
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Competitor

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City SANDY
Zip Code 84092
Specialty FAMILY PRACTICE
City + Specialty SANDY + FAMILY PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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