Kim Genelle Davis (NPI# 1588624381, PAC ID# 9830127042) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1588624381 |
| PAC ID by PECOS | 9830127042 |
| Professional Enrollment ID | I20050801001132 |
| Full Name | Kim Genelle Davis |
| Organization Legal Name | COTTON ONEIL CLINIC REVOCABLE TRUST |
| Address |
211 E Main St Carbondale KS 66414-9607 |
| Phone Number | 7858367111 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2000 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5496659195 |
| Number of Group Practice Members | 515 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170086 | STORMONT VAIL HOSPITAL |
| 171384 | NEWMAN REGIONAL HEALTH |
| 170016 | ST FRANCIS HEALTH CENTER |
| 171385 | COFFEY COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 211 E Main St, Carbondale, KS 66414-9607 | 7858367111 | COTTON ONEIL CLINIC REVOCABLE TRUST |
| Organization Legal Name | COTTON ONEIL CLINIC REVOCABLE TRUST |
| Physicians | 511 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahmad Alhariri | Hospitalist | Cotton Oneil Clinic Revocable Trust | 1500 Sw 10th Ave, Topeka, KS 66604-1301 |
| Deshala Castille | Obstetrics/gynecology | Cotton Oneil Clinic Revocable Trust | 1301 W 12th Ave, Suite 401, Emporia, KS 66801-2591 |
| Lenora C Edwards | Nurse Practitioner | Cotton Oneil Clinic Revocable Trust | 423 N Main St, Rossville, KS 66533-9803 |
| Caroline Abrahamson | Qualified Speech Language Pathologist | Cotton Oneil Clinic Revocable Trust | 1504 Sw 8th Ave Outpatient Gym 1st Floor, Topeka, KS 66606-1632 |
| Angela M Henderlong | Nurse Practitioner | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| James M Mcintosh | Family Medicine | Cotton Oneil Clinic Revocable Trust | 1704 Commercial Cir, Wamego, KS 66547-9690 |
| Kristin L Bosiljevac | Family Medicine | Cotton Oneil Clinic Revocable Trust | 118 W 4th St, Lebo, KS 66856-9437 |
| Renae Carsten | Nurse Practitioner | Cotton Oneil Clinic Revocable Trust | 601 Sw Corporate Vw, Suite 200, Topeka, KS 66615-1245 |
| Grant K Ghahramani | Dermatology | Cotton Oneil Clinic Revocable Trust | 6650 Sw Mission Valley Dr, Topeka, KS 66614-5654 |
| Charla Reisdorph | Nurse Practitioner | Cotton Oneil Clinic Revocable Trust | 3520 Sw 6th St, Topeka, KS 66606-2806 |
| Street Address |
211 E MAIN ST |
| City | CARBONDALE |
| State | KS |
| Zip | 66414-9607 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James P Birkbeck | Cardiovascular Disease (cardiology) | Cotton Oneil Clinic Revocable Trust | 211 E Main St, Carbondale, KS 66414-9607 |
| Taijun Zhao | Neurology | Cotton Oneil Clinic Revocable Trust | 211 E Main St, Carbondale, KS 66414-9607 |
| Steven E Seals | Cardiac Electrophysiology | Cotton Oneil Clinic Revocable Trust | 211 E Main St, Carbondale, KS 66414-9607 |
| Edward N Letourneau | Rheumatology | Cotton Oneil Clinic Revocable Trust | 211 E Main St, Carbondale, KS 66414-9607 |
| Ashraf Alhafez | Hospitalist | Cotton Oneil Clinic Revocable Trust | 211 E Main St, Carbondale, KS 66414-9607 |
| William D Harris | Internal Medicine | Cotton Oneil Clinic Revocable Trust | 211 E Main St, Carbondale, KS 66414-9607 |
| Jane A Dettmann | Physical Therapy | Cotton Oneil Clinic Revocable Trust | 211 E Main St, Carbondale, KS 66414-9607 |
| Seshu C Rao | Interventional Cardiology | Cotton Oneil Clinic Revocable Trust | 211 E Main St, Carbondale, KS 66414-9607 |
| Denise Tollefson | Family Medicine | Cotton Oneil Clinic Revocable Trust | 211 E Main St, Carbondale, KS 66414-9607 |
| Judy A Dowd | Physician Assistant | Cotton Oneil Clinic Revocable Trust | 211 E Main St, Carbondale, KS 66414-9607 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsay A Dupigny-leigh | Nurse Practitioner | Cotton Oneil Clinic Revocable Trust | 211 E Main St, Carbondale, KS 66414-9607 |
| Bradley T Poole | Orthopedic Surgery | Cotton Oneil Clinic Revocable Trust | 211 E Main St, Carbondale, KS 66414-9607 |
| Michael P Lexow | Family Medicine | Cotton Oneil Clinic Revocable Trust | 211 E Main St, Carbondale, KS 66414-9607 |
| David J Penn | Family Medicine | Cotton Oneil Clinic Revocable Trust | 211 E Main St, Carbondale, KS 66414-9607 |
| Donney W Kastner | Cardiovascular Disease (cardiology) | Cotton Oneil Clinic Revocable Trust | 211 E Main St, Carbondale, KS 66414-9607 |
| Brian Bondurant | General Practice | Cotton Oneil Clinic Revocable Trust | 211 E Main St, Carbondale, KS 66414-9607 |
| Leanne M Finney | Nurse Practitioner | Cotton Oneil Clinic Revocable Trust | 211 E Main St, Carbondale, KS 66414-9607 |
| Mehmood H Hashmi | Hematology/oncology | Cotton Oneil Clinic Revocable Trust | 211 E Main St, Carbondale, KS 66414-9607 |
| Julie A Worley | Physical Therapy | Cotton Oneil Clinic Revocable Trust | 211 E Main St, Carbondale, KS 66414-9607 |
| Christopher A Tollefson | Nurse Practitioner | Cotton Oneil Clinic Revocable Trust | 211 E Main St, Carbondale, KS 66414-9607 |
| Find all physicians in zip 66414 | |||
| City | CARBONDALE |
| Zip Code | 66414 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CARBONDALE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kim Genelle Davis.
| 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.