Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH E DAVIS, M.D.
Active Sole ProprietorKEITH E DAVIS, M.D. is a Family Medicine healthcare provider located in SHOSHONE, Idaho. NPI 1043277635 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SHOSHONE, ID
Registration Details
- NPI Number
- 1043277635
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2006 (20.296477944656 yrs)
- Last Updated
- Nov 15, 2010
- License
-
M4888 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
113 S APPLE STSHOSHONE, ID, 833525287Browse ID providers · Browse ZIP 83352
- Phone
- 2088862224
- Fax
- 2088862634
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.