| Doctor Name: | KIMBERLY DAWN DAVIS |
| NPI Number: | 1770820961 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 5228 Nc Hwy 211 West End, NC - 273769044 |
| Business Phone Number: | 9106738509 |
| Business Fax Number: | |
| Mailing Address: | Po Box 833, HOPE MILLS |
| State: | NC |
| Postal Code: | 283480833 |
| Phone Number: | 9104765297 |
| Fax Number: | |
| NPI Enumeration Date: | 01/09/2013 |
| NPI Last Update Date: | 01/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |