Individual
DR. KURTIS WILLIAM DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
506 E THORPE ST, LAKIN, KS 67860-9625
(620) 355-7550
(620) 355-7500
Mailing address
506 E THORPE ST, LAKIN, KS 67860-9625
(620) 355-7550
(620) 355-7500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036128271
IL
207Q00000X
Family Medicine Physician
Primary
04-39254
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036128271
—
IL
05
—
201140520A
—
KS
Enumeration date
08/04/2008
Last updated
07/21/2022
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