SearchIdahoFamily Medicine Physician

Keith Davis, M.D

NPI 1043277635 · on the registry since 2006 · sole proprietor

Practice

Address
113 S Apple St
Shoshone, ID 83352
Phone
(208) 886-2224
Fax
(208) 886-2634
Organisation at this address
Keith E Davis
Lincoln Community Health
Physician Management Services Of Idaho, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
Family Medicine Physician
207Q00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-11-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho