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

Mr. Kenneth John Davis, PA-C

Individual provider Medical Physician Assistant · NPI 1780714188

Mr. Kenneth John Davis, PA-C is a Physician Assistant in Denver, Colorado. Qualified in 2000, 26 years ago. Practices with Rocky Mountain Clinics LLC, a 49-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
26
Licensed in
CO
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

101 S Fairfax St
Denver, CO 80246-3135
Phone: (303) 993-2629
Fax: (303) 993-2934
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 595 Russell St, Craig, CO 81625 — (970) 824-1020
  • 3001 S Lincoln Ave Ste A, Steamboat Springs, CO 80487-1790 — (970) 875-2750

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1755 (CO)

Record details

NPI number1780714188
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 6, 2007
Last updated in NPPESFebruary 28, 2022
Certification dateFebruary 28, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Rocky Mountain Clinics Llc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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