Individual
MR. ALOYSIUS DE'MON DAVIS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN SKILLED CARE
Contact information
Practice address
6240 NEBRASKA AVE, KANSAS CITY, KS 66102-1356
(913) 963-0021
Mailing address
6240 NEBRASKA AVE, KANSAS CITY, KS 66102-1356
(913) 963-0021
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
24-27714-122
KS
Other
Enumeration date
04/19/2019
Last updated
06/11/2019
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