Individual
ALISA KLICK-DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4914 SW BRIAR LN, TOWANDA, KS 67144-9059
(316) 778-1258
Mailing address
4914 SW BRIAR LN, TOWANDA, KS 67144-9059
(316) 778-1258
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
53-45955-061
KS
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
13-62212-061
KS
Other
Enumeration date
08/14/2011
Last updated
08/14/2011
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