Individual
MRS. REGINA MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, APN, MSN
Contact information
Practice address
19550 E 39TH ST S, SUITE # 100, INDEPENDENCE, MO 64057-2303
(816) 478-2600
Mailing address
1668 NW 380TH RD, KINGSVILLE, MO 64061-9010
(618) 402-8244
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041367029
IL
163W00000X
Registered Nurse
Primary
2003015763
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174504732
ANESTHESIA ASSOCIATES OF KANSAS CITY NPI GROUP NUMBER
MO
Enumeration date
12/13/2012
Last updated
12/13/2012
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