Individual provider · Type 1 NPI
Kibibi Davison, DPM
Primary Podiatric Medicine Podiatrist · Tampa, FL
NPI number
1063676575
Active
Practice location
7532 Clearview Dr
Tampa, FL 33634
Other practice locations
- 6347 S Drexel Ave Unit 1, Chicago, IL 60637-3501 · (813) 525-6135
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | PO4035 (FL) |
| Podiatrist | 213E00000X | SC006042 (PA) |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 07001101A (IN) |
| Student in an Organized Health Care Education/Training Program | 390200000X | SC006042 (PA) |
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 016.005441 (IL) |
Primary Podiatric Medicine Podiatrist: Definition to come...
2 other providers at this address
About NPI 1063676575
Kibibi Davison, DPM's National Provider Identifier is 1063676575, issued on Jul 14, 2008. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Tampa, FL. The record was last updated on Mar 11, 2019.