Kim M Davies, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

04-25902 Issued in KS

Practice address

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

Phone

(913) 631-8486

Fax

(913) 948-9877

NPI assigned

Feb 8, 2007

Last updated

Jan 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: kim.davies.1@7658.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kim M Davies MD PA

  • Primary Care Clinic/Center
  • Independence, MO
  • NPI 1164554119
  Medicare reassignment

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1326188046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4741 S ARROWHEAD DR STE B",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557021",
            "telephone_number": "913-631-8486",
            "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": "913-631-8486",
            "fax_number": "913-948-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "KIM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "110983",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-25902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrell W. Davis, D.D.S., P.C
• Selena Nicole Dattoli, APRN, FNP-C
• Patrick Daugherty
• Valentenia Daugherty, D.P.M.
• Lindsey Marie Daum
• Cuba S Davis, LPC
• Darrell W. Davis, DDS, PC
• Jessica Davis, M.A., CCC-SLP
• Kelly Davis, M.A., CCC-SLP
• Madison Davis

• Internal Medicine Physician in Independence, MO
• Providers in Independence, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.