Individual
DEBRA D DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
7111 E 21ST ST N STE A, WICHITA, KS 67206-1078
(316) 684-2851
(316) 683-5239
Mailing address
12526 E CENTRAL AVE APT 1023, WICHITA, KS 67206-2853
(316) 655-9126
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1500252
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100343060B
—
KS
Enumeration date
05/24/2005
Last updated
01/05/2021
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