Individual
JAKE WESTLEY DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7951 W 160TH STREET, SUITE 500, OVERLAND PARK, KS 66223
(731) 414-3241
Mailing address
13831 RUSSELL ST APT 126, OVERLAND PARK, KS 66223-2512
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05879
KS
Other
Enumeration date
05/26/2016
Last updated
03/17/2018
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