Individual
MS. DAVIENNE M KOCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
909 SW MULVANE ST, TOPEKA, KS 66606-1677
(785) 357-0301
(785) 357-7581
Mailing address
909 SW MULVANE ST, TOPEKA, KS 66606-1677
(785) 357-0301
(785) 357-7581
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00941
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200004640A
—
KS
05
—
200004640B
—
KS
Enumeration date
12/20/2005
Last updated
03/07/2023
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