Individual
BENJAMIN SEAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2101 N WALDRON ST, HUTCHINSON, KS 67502-1197
(620) 669-2500
Mailing address
57950 LEAVENWORTH ST, WICHITA, KS 67221-3506
(316) 759-6300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0432333
KS
207Q00000X
Family Medicine Physician
6346
KS
Other
Enumeration date
04/20/2007
Last updated
10/16/2019
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