| Dr Kimberly Jo Davis, DO | |
|
1174e Graystone Way 15, Slc, UT 84106-2678 | |
| (801) 486-0875 | |
| (801) 486-0174 |
| Full Name | Dr Kimberly Jo Davis |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 21 Years |
| Location | 1174e Graystone Way 15, Slc, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487820320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 6348762-1204 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Midas Creek Home Health | South jordan, UT | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Togo Healthcare Llc | 2264973437 | 8 |
| Entity Name | Kimberly Davis Integrativehealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881020774 PECOS PAC ID: 3779706353 Enrollment ID: O20140529001003 |
| Entity Name | Togo Acute And Post Acute Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417667742 PECOS PAC ID: 8921479940 Enrollment ID: O20230130000790 |
| Entity Name | Togo Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699511071 PECOS PAC ID: 2264973437 Enrollment ID: O20240916003251 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kimberly Jo Davis, DO 1174e Graystone Way 15, Slc, UT 84106-2678 Ph: (801) 557-7785 | Dr Kimberly Jo Davis, DO 1174e Graystone Way 15, Slc, UT 84106-2678 Ph: (801) 486-0875 |
Nicholas Gary Hanson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 S 1100 E Ste 310, Slc, UT 84102 Phone: 801-328-1260 Fax: 801-350-4361 | |
Dan C. Henry Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2295 Foothill Dr, Slc, UT 84109 Phone: 801-486-3021 Fax: 801-485-6339 | |
John U Lawrence, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 34 S 500 E, Ste 202, Slc, UT 84102 Phone: 801-582-2011 | |
Daniel Payne, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2295 S Foothill Dr, Slc, UT 84109 Phone: 801-486-3021 |