Kjersten A Davis
Medical Specialty
Professional ID
- NPI: 1679019178
- PECOS ID: 6002190402
- Enrollment ID: I20170302002402
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2016
Hospital Service
- Hospital CCN1: 030061
- Business Name (LBN)1: Banner Boswell Medical Center
- Hospital CCN2: 030093
- Business Name (LBN)2: Banner Del E Webb Medical Center
Medical Practices
- Organization Name: Banner Physician Specialists Arizona Llc
- Group Practice ID assigned by PECOS: 6204002272
- Number of Group Practice member: 197
Location
- Address1: 13640 N Plaza Del Rio Blvd
- Address2:
- City: Peoria
- State: Arizona
- Zip Code: 85381
- Phone Number: (623)876-3800
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):