Kathleen C. Davis, MD
Individual provider Active NPI Allergy & Immunology Physician · Billings, MT
NPI 1407959489 · NPPES record last updated Dec 3, 2014
Key facts
- NPI
- 1407959489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- License
- 5269 (MT)
- Practice address
- 2675 Central Ave
Billings, MT 59102-6686 - Phone
- (406) 238-2500
- NPI assigned
- Sep 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5269 | MT | MD | Allergy & Immunology Physician |
| 25982 | CO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Billings Clinic | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290
801 N 29th St
Billings, MT 59101
Phone (406) 238-2210
2675 Central Ave
Billings, MT 59102
Phone (406) 238-2900
1202 3rd St W
Roundup, MT 59072
Phone (406) 323-2301
201 Yellowstone Ave
Cody, WY 82414
Phone (307) 527-7561
707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561
Interoperability endpoints
- kdavis@billingsclinic.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 5269 | MT | Yes |
Addresses
Primary practice location
2675 Central Ave
Billings, MT 59102-6686
Mailing address
PO Box 35100
Billings, MT 59107-5100
Phone (406) 238-2500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000092100 | Other | MT | BCBS PIN |
| 0011356 | Other | MT | MDCD PIN |
| 102016100 | Other | WY | MDCD PIN |
Other providers in Billings, MT
- Destinee G Davis
- Eden Rae Davis
- Elizabeth Anne Davis
- Jennifer Leigh Davis
- K. Rebecca Davis
- Keith Davis
- Kevin K Davis Jr.
- Lauren Davis
- Lindsey M Davis
- Michelle Davis
All providers in Billings, MT · Allergy & Immunology Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.