Individual
KARA DAVIS FAITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 706-5911
(541) 706-2645
Mailing address
4141 5TH ST, RAPID CITY, SD 57701-6021
(605) 341-2424
(605) 341-4547
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
615
MT
363AS0400X
Surgical Physician Assistant
Primary
0758
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6834860
—
SD
Enumeration date
07/29/2010
Last updated
05/09/2022
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