Mrs Kim Genelle Davis, ARNP is a
Nurse Practitioner based in Lebo, Kansas. Mrs Kim Genelle Davis is licensed to practice in Kansas (license number 45161) and her current practice location is
118 W. 4th, Lebo, Kansas. She can be reached at her office (for appointments etc.) via phone at
(620) 256-6346.
NPI number for Mrs Kim Genelle Davis is 1588624381 and her current mailing address is 1500 Sw 10th Ave, Medical Staff Services, Topeka, Kansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588624381.
Provider's Profile
Full Name | Mrs Kim Genelle Davis |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 118 W. 4th, Lebo, Kansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588624381
- Provider Enumeration Date: 03/24/2006
- Last Update Date: 12/19/2019
Medical Identifiers
Medical identifiers for Mrs Kim Genelle Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588624381 | NPI | - | NPPES |
100428830D | Medicaid | KS | |
100428830E | Medicaid | KS | |
068002265 | Other | KS | MEDICARE PTAN |
161507 | Other | KS | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 45161 (Kansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kim Genelle Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kim Genelle Davis, ARNP 1500 Sw 10th Ave, Medical Staff Services, Topeka, KS 66604 Ph: (785) 354-6241 | Mrs Kim Genelle Davis, ARNP 118 W. 4th, Lebo, KS 66856 Ph: (620) 256-6346 |
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