Provider Demographics
NPI:1285769158
Name:DAVIS, KAREN ANN (DO)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ANN
Last Name:DAVIS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:846 HALL COVE RD
Mailing Address - Street 2:
Mailing Address - City:WARNE
Mailing Address - State:NC
Mailing Address - Zip Code:28909-8743
Mailing Address - Country:US
Mailing Address - Phone:828-389-8810
Mailing Address - Fax:
Practice Address - Street 1:311 HILL ST
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-3510
Practice Address - Country:US
Practice Address - Phone:828-835-2420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO27763207Q00000X
NC2019-02545207QA0401X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
COE22402Medicare UPIN