Individual
MRS. NICKY R DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
793 S 70TH ST, MCCUNE, KS 66753
(620) 632-5154
Mailing address
793 S 70TH ST, MCCUNE, KS 66753
(620) 632-5154
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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