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

Keith E Davis, MD

Individual provider Family Medicine Physician · NPI 1043277635

Keith E Davis, MD is a Family Medicine Physician in Shoshone, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

113 S Apple St
Shoshone, ID 83352-5287
Phone: (208) 886-2224
Fax: (208) 886-2634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M4888 (ID)

Record details

NPI number1043277635
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 27, 2006
Last updated in NPPESNovember 15, 2010
Mailing address113 S. Apple St., Po Box 609, Shoshone, ID 83352-0609

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