Kenneth John Davis is a Medical in Denver, Colorado. Kenneth John Davis practices all healthcare services and medical treatments related to Medical. The NPI Number for Kenneth John Davis is 1780714188. The last update date is 2022-02-28.
Kenneth John Davis's current location address is 101 S Fairfax St, Denver, Colorado. You can contact this provider via phone number 3039932629 and fax number 3039932934. The mailing address for Kenneth John Davis is 101 S Fairfax St, Denver, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth John Davis |
|---|---|
| Address | 101 S Fairfax St, Denver, Colorado |
| Phone Number | 3039932629 |
| Fax Number | 3039932934 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1780714188 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2022-02-28 |
Provider Mailing Address Detail
| Address | 101 S Fairfax St |
|---|---|
| City | Denver |
| State | Colorado (CO) |
| Post Code | 802463135 |
| Phone Number | 3039932629 |
| Fax Number | 3039932934 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1755 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 49583735 | CO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kenneth John Davis by the Centers for Medicare & Medicaid Services?
The Kenneth John Davis has been issued the NPI (National Provider Identifier) 1780714188 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kenneth John Davis?
The Kenneth John Davis is situated at 101 S Fairfax St, in the city of Denver, state of CO, with the zip code 802463135.
What is Kenneth John Davis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kenneth John Davis's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1780714188 to Kenneth John Davis?
The Centers for Medicare & Medicaid Services assigned the 1780714188 to Kenneth John Davis on 2007-03-06.
As of what date were the details related to Kenneth John Davis most recently updated or revised?
The information pertaining to Kenneth John Davis, including its address, specialty, and other relevant details, was last updated or revised on 2022-02-28.