Individual
CRYSTAL RENEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4963 W. 135TH ST, LEAWOOD, KS 66224
(913) 814-8222
(913) 897-5574
Mailing address
2840 SW URISH ROAD, TOPEKA, KS 66614
(785) 273-4443
(785) 228-9892
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00916
KS
Other
Enumeration date
02/06/2008
Last updated
11/18/2016
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