Kimberly Nicole Davis
Rehabilitation Practitioner
1517 W Garvey Ave N
West Covina
, California 91790-2138
Kimberly Nicole Davis
Rehabilitation Practitioner
1517 W Garvey Ave N
West Covina
, California 91790-2138
(626) 808-3730
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About
Features
Specialties
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Kimberly Nicole Davis
- Po Box 93238
- Pasadena, CA
- Zip : 91109-3238
- Phone : (626) 808-3730
Second Address
- Kimberly Nicole Davis
- 1517 W Garvey Ave N
- West Covina, CA
- Zip : 91790-2138
- Phone : (626) 254-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner |
National Provider Identifier
| NPI | 1033394606 |
|---|---|
| Provider Name | Kimberly Nicole Davis |
| First Address | Pasadena, CA 91109-3238 |
| Second Address | West Covina, CA 91790-2138 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/01/2008 |
| Last Update Date | 02/01/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.