Individual
ANNE WETHERILL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10918 ELM, KANSAS CITY, MO 64134
(913) 362-4411
(913) 696-1955
Mailing address
12221 HORTON, OVERLAND PARK, KS 66209
(913) 362-4411
(913) 696-1955
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
04-26021
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100292390B
—
KS
Enumeration date
08/24/2005
Last updated
10/07/2009
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