| Kim M Davies MD PA | |
|
4741 S Arrowhead Dr Ste B Independence MO 64055-7021 | |
| (816) 795-6000 | |
| (913) 948-9877 |
| Full Name | Kim M Davies MD PA |
|---|---|
| Speciality | Clinic/Center |
| Location | 4741 S Arrowhead Dr Ste B, Independence, Missouri |
| Authorized Official Name and Position | Kimberly Davies (OWNER) |
| Authorized Official Contact | 8164956000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim M Davies MD PA 13616 W 76th Ter Lenexa KS 66216-4256 Ph: (913) 523-3700 | Kim M Davies MD PA 4741 S Arrowhead Dr Ste B Independence MO 64055-7021 Ph: (816) 795-6000 |
| NPI Number | 1164554119 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 07/28/2025 |
| Certification Date | 07/28/2025 |
| Medicare PECOS PAC ID | 9638197510 |
|---|---|
| Medicare Enrollment ID | O20090209000636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164554119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 110983 (Missouri) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Kim M Davies |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326188046 PECOS PAC ID: 2163440041 Enrollment ID: I20081112000332 |
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