Individual
IDA JANE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
8826 SANTA FE DR, SUITE #303, OVERLAND PARK, KS 66212-3655
(913) 631-9471
Mailing address
8826 SANTA FE DR, SUITE #303, OVERLAND PARK, KS 66212-3655
(913) 631-9471
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2697
KS
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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