# DR. SUSAN EVANS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1669873162
- **Gender:** F
- **Credential:** D.D.S, P.A.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6173 | KS | Yes |

## Other

- **Enumeration date:** 09/16/2014
- **Last updated:** 04/14/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1326149196 | ORGANIZATION NPI | KS |
| 01 | — | 6173 | STATE LICENSE NUMBER | KS |