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

Kimberly Diane Davis, DO

Individual provider Family Medicine Physician · NPI 1639791379

Kimberly Diane Davis, DO is a Family Practice in East Granby, Connecticut. Graduated from Alabama College of Osteopathic Medicine in 2020, 6 years ago. Practices with East Granby Family Practice LLC, a 12-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
6
Trained at
Alabama College of Osteopathic Medicine
Licensed in
CT
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

13 Church Rd
East Granby, CT 06026-9406
Phone: (860) 653-4526
Fax: (833) 471-6186
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 75672 (CT)

Record details

NPI number1639791379
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 15, 2020
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025
Mailing address71 Haynes St, Manchester, CT 06040-4131

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolALABAMA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice East Granby Family Practice Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in East Granby