Individual
RANDALL D. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2679
(913) 789-3191
Mailing address
5004 HILLTOP DR, SHAWNEE, KS 66226-2684
(913) 745-5031
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-100630-021
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
556953
KS
Other
Enumeration date
04/02/2010
Last updated
09/17/2025
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