DR. KIMBERLY DAVIS KEITH (NPI# 1619961836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619961836 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY DAVIS KEITH |
| Credential | M.D. |
| Practice Address |
2808 S Croatan Hwy Ste C-1 Nags Head NC 27959-9024 |
| Mailing Address |
Po Box 1976 Nags Head NC 27959-1976 |
| Practice Telephone | 2524495500 |
| Practice Fax Number | 2524495501 |
| Mailing Telephone | 2524495500 |
| Mailing Fax Number | 2524495501 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 9601644 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 891004Q | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730573981 | Kimberly Keith | Behavioral Analyst | 14725 Gleneagle Dr, Colorado Springs, CO 80921-2602 | 2015-03-25 |
| Street Address |
2808 S CROATAN HWY STE C-1 |
| City | NAGS HEAD |
| State | NC |
| Zip Code | 27959-9024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962954297 | Rebecca Anne Woods | Social Worker | 2808 S Croatan Hwy, Suite 565, Nags Head, NC 27959-9024 | 2016-11-03 |
| 1780045013 | Katherine Susanne Lawrance | Counselor | 2808 S Croatan Hwy, Suite B, Nags Head, NC 27959-9024 | 2016-03-15 |
| 1174935399 | Rebekah Diane Cahoon | Counselor | 2808 S Croatan Hwy, Suite B, Nags Head, NC 27959-9024 | 2014-05-22 |
| 1386923803 | Melinda Morton Creef | Counselor | 2808 S Croatan Hwy, Suite B, Nags Head, NC 27959-9024 | 2011-08-15 |
| 1457679482 | Priscilla Na Broussard | Counselor | 2808 S Croatan Hwy, Nags Head, NC 27959-9024 | 2010-05-14 |
| 1972830297 | Cnc/access Inc | Community/Behavioral Health | 2808 S Croatan Hwy, Nags Head, NC 27959-9024 | 2009-11-06 |
| 1427385046 | Cnc/access Inc | Community/Behavioral Health | 2808 S Croatan Hwy, Nags Head, NC 27959-9024 | 2009-11-04 |
| 1649505082 | Philip A Keller | Physician Assistant | 2808 S Croatan Hwy, Suite 565, Nags Head, NC 27959-9024 | 2009-10-02 |
| 1982848792 | Cnc/access, Inc. | Community/Behavioral Health | 2808 S Croatan Hwy, Suit A, Nags Head, NC 27959-9024 | 2009-04-23 |
| 1649414459 | Cnc/access, Inc. | Community/Behavioral Health | 2808 S Croatan Hwy, Suite A, Nags Head, NC 27959-9024 | 2009-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821609124 | Charla D Huff | Counselor | 2224 S Croatan Hwy, Nags Head, Nc 27959, Nags Head, NC 27959 | 2020-08-11 |
| 1376029827 | Albemarle Eye Center, Pllc | Ophthalmology | 111 W Seachase Dr, Nags Head, NC 27959 | 2018-07-18 |
| 1780847392 | Brainard Lee Ackley | Chiropractor | 119 West Woodhill Drive, Suite 7, Nags Head, NC 27959 | 2008-07-03 |
| 1629241963 | Joseph Console Martone | Dentist | 2300 Croatan Highway, Suite #203, Nags Head, NC 27959 | 2008-04-08 |
| 1902096886 | Tristan Roderick | Psychologist | 2514 South Croatan Hwy, Nags Head, NC 27959 | 2007-07-27 |
| 1750593570 | Joan Beall | Counselor | 2215 Va Dare Trail, Nags Head, NC 27959 | 2007-05-04 |
| 1366654071 | William Milnor Downing Vi | Dentist | 2917 South Croatan Hwy, Nags Head, NC 27959 | 2007-05-04 |
| 1821117318 | Bear Drugs of Nags Head Inc. | Pharmacy | 4711 S. Croatan Hwy, Unit #4, Nags Head, NC 27959 | 2007-03-28 |
| 1275663916 | John Robert Wallace | Physical Therapist | 103 W Woodhill Dr, Suite A, Nags Head, NC 27959 | 2007-03-06 |
| 1477607273 | Albemarle Mental Health Center | Social Worker | 2514 S Croatan Hwy, Nags Head, NC 27959 | 2007-01-22 |
| Find all providers in zip 27959 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679513790 | Karen A Supan-mcpherson | Emergency Medicine | 106 W Wood Hill Dr, Nags Head, NC 27959-9394 | 2006-06-07 |
| 1821127739 | Maria Nicole Saffell | Emergency Medicine | 4800 S Croatan Hwy, Nags Head, NC 27959-9704 | 2007-03-05 |
| 1215037791 | Mark Reginald Hill | Emergency Medicine | 4800 S Croatan Hwy, Nags Head, NC 27959-9704 | 2006-09-24 |
| 1508885211 | Celia Mae Aguilar | Emergency Medicine | 4800 S Croatan Hwy, Nags Head, NC 27959-9704 | 2006-07-19 |
| 1710927371 | Scott R. Mcpherson | Emergency Medicine | 4800 S Croatan Hwy, Nags Head, NC 27959-9704 | 2006-06-08 |
| 1659328417 | Linda Frances Morway | Emergency Medicine | 4800 S Croatan Hwy, Nags Head, NC 27959-9704 | 2006-05-27 |
| 1093761157 | John P. Lois IIi | Emergency Medicine | 4800 S Croatan Hwy, Nags Head, NC 27959-9704 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758430 | Express Test Nc Pllc | Emergency Medicine | 110 Swift Ave, Durham, NC 27705-4880 | 2020-10-21 |
| 1164021051 | Onespotmd Primary and Urgent Care Pllc | Emergency Medicine | 2017 Central Ave Ste 103, Charlotte, NC 28205-5388 | 2020-10-21 |
| 1750909032 | The Presbyterian Hospital | Emergency Medicine | 125 Queens Rd Ste 500, Charlotte, NC 28204-3215 | 2020-07-13 |
| 1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
| 1457988586 | Morgan Mazakas Penzler | Emergency Medicine | 1000 Blythe Blvd Ste 600, Charlotte, NC 28203-5812 | 2020-03-26 |
| 1770114555 | Carolina Neuropathy Centers, Pllc | Emergency Medicine | 21000 Torrence Chapel Rd Ste 101, Cornelius, NC 28031-6874 | 2020-01-30 |
| 1386291185 | Maurice Andre Paquette II | Emergency Medicine | 2301 Erwin Rd # Dumc3096, Durham, NC 27705-4699 | 2019-08-26 |
| 1205489275 | Rex Hospital Inc | Emergency Medicine | 6715 Mccrimmon Pkwy Ste 201, Cary, NC 27519-1916 | 2019-07-18 |
| 1821551920 | Rex Hospital Inc | Emergency Medicine | 1165 Us Hwy 70 W, Garner, NC 27529 | 2019-04-08 |
| 1538620737 | Andrew Yde | Emergency Medicine | Cmc/department of Emergency Medicine, 1000 Blythe Blvd., Charlotte, NC 28203-5812 | 2019-03-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KIMBERLY DAVIS KEITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.