| Kimberly Davis, Rd/ld, P.c., Inc. | |
|
1414 N Porter Ave Norman OK 73071-6662 | |
| (405) 326-5403 | |
| (405) 217-3985 |
| Full Name | Kimberly Davis, Rd/ld, P.c., Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 1414 N Porter Ave, Norman, Oklahoma |
| Authorized Official Name and Position | Kimberly Dawn Davis-coniglio (OWNER) |
| Authorized Official Contact | 4053265403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Davis, Rd/ld, P.c., Inc. 1414 N Porter Ave Norman OK 73071-6662 Ph: (405) 326-5403 | Kimberly Davis, Rd/ld, P.c., Inc. 1414 N Porter Ave Norman OK 73071-6662 Ph: (405) 326-5403 |
| NPI Number | 1013151174 |
|---|---|
| Provider Enumeration Date | 04/20/2009 |
| Last Update Date | 04/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013151174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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