Individual
CONSTANCE A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 N CARRIAGE PKWY, WICHITA, KS 67208-4508
(316) 858-5800
(316) 858-5868
Mailing address
800 N CARRIAGE PKWY, WICHITA, KS 67208-4508
(316) 858-5800
(316) 858-5868
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-28941
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100422760A
—
KS
01
—
102201
BCBS
—
Enumeration date
04/03/2006
Last updated
12/12/2008
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