Individual
PAMELA B DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0428437
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200005320A
—
KS
01
—
P00073790
RAILROAD MEDICARE
KS
Enumeration date
03/10/2006
Last updated
04/29/2015
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