Kristy K Davis DO PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KRISTY K DAVIS DO PLLC

Practice address

916 Myrtle St
Sturgis, MI 49091-2326

Phone

(269) 251-1064

NPI assigned

Dec 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kristy K Davis

Title

Self

Phone

(269) 251-1064

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1033392170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27100 MAHLE LANDING RD",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490919150",
            "telephone_number": "269-251-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 MYRTLE ST",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490912326",
            "telephone_number": "269-251-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTY K DAVIS DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SELF",
        "authorized_official_telephone_number": "269-251-1064"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111992060",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Kirshman
• Robert Klar, R.PH.
• Michael Klein, FNP-C
• Jade Lindsay Klingler, FNP
• Godson G Kotia, M.D.
• Kroger Limited Partnership I (Kroger Pharmacy)
• Anthony Kuhbander, NP
• Lake Country Health Alliance
• Lake Country Urology Clinic, PLLC (Lake Country Health Alliance)
• Lake State Dental PLLC

• Family Medicine Physician in Sturgis, MI
• Providers in Sturgis, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.