Organization · Type 2 NPI
Keith E Davis
Rural Health Clinic/Center · Shoshone, ID
NPI number
1972673218
Active
Practice location
113 S Apple St
Shoshone, ID 83352-5287
Mailing address
PO Box 609
Shoshone, ID 83352-0609
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
7 other providers at this address
- Physician Management Services of Idaho, LLCFamily Medicine Physician Shoshone, ID NPI 1215688346
- Andrea Madson, LMSWSocial Worker Shoshone, ID NPI 1982055166
- Barbara Hapayan, NPFamily Nurse Practitioner Shoshone, ID NPI 1619494614
- Janet SandyNurse Practitioner Shoshone, ID NPI 1770653990
- Keith E. Davis, MDFamily Medicine Physician Shoshone, ID NPI 1043277635
- Megan Richardson Williams, RD, LDRegistered Dietitian Shoshone, ID NPI 1164671699
- Stephanie Roberts, PAMedical Physician Assistant Shoshone, ID NPI 1144393257
About NPI 1972673218
Keith E Davis's National Provider Identifier is 1972673218, issued on Nov 8, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Shoshone, ID. The record was last updated on Mar 8, 2012.