Kim M Davies MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

KIM M DAVIES MD PA

Practice address

4741 S Arrowhead Dr Ste B
Independence, MO 64055-7021

Phone

(816) 795-6000

Fax

(913) 948-9877

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Kimberly Davies, MD

Title

Owner

Phone

(816) 495-6000

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim M Davies, M.D.

  • Internal Medicine Physician
  • Independence, MO
  • NPI 1326188046
  Medicare reassignment

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1164554119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13616 W 76TH TER",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662164256",
            "telephone_number": "913-523-3700",
            "fax_number": "913-948-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 S ARROWHEAD DR STE B",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557021",
            "telephone_number": "816-795-6000",
            "fax_number": "913-948-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM M DAVIES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-495-6000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "110983",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Suzanne Kidd, RN
• Elizabeth Rose Kieffer
• Jessica R Kientzy, MSN, PMHNP
• Marta Hailu Kifle, NP
• Mark Ray Killman, M.D.
• Yohan Kim, LAC
• Tiffany Kimbrough, COTA
• Jillian Moore King, NP-C
• Sara Ellen King, MOT
• Sherry Ann King, LMSW

• Primary Care Clinic/Center in Independence, MO
• Providers in Independence, MO by specialty
• Primary Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.