Individual
TIMOTHY O DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
2214 CANTERBURY DR, STE 300, HAYS, KS 67601-2386
(785) 623-5160
Mailing address
2214 CANTERBURY DR, STE 300, HAYS, KS 67601-2397
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2223
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069645
MEDICARE ID
KS
05
—
100425770A
—
KS
Enumeration date
11/08/2006
Last updated
07/18/2019
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