Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kathryn Lorann Davis, MD

Individual provider Vascular Surgery Physician · NPI 1871791301

Dr. Kathryn Lorann Davis, MD is a Vascular Surgery in Charlotte, North Carolina. Graduated from Creighton University School of Medicine in 2007, 19 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado, Illinois, Kentucky and Minnesota and 2 more.

Years since qualifying
19
Trained at
Creighton University School of Medicine
Licensed in
CO, IL, KY, MN, NC, ND
In the registry since
2007
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2001 Vail Ave Ste 320
Charlotte, NC 28207-1222
Phone: (704) 333-0741
Fax: (704) 365-2073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4600 Memorial Dr Ste W1, Belleville, IL 62226-5359 — (618) 233-3066

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 036169048 (IL)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence LT16708 (ND)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 68017 (MN)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 45235 (KY)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 2019-01330 (NC)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 53601 (CO)

Record details

NPI number1871791301
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 5, 2007
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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