Individual
DR. SEAN RICHARD DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 SE BLUE PKWY, LEES SUMMIT, MO 64063-1007
(469) 688-4710
Mailing address
2525 MAIN ST, KANSAS CITY, MO 64108-2673
(469) 688-4710
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
V0378
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2018
Last updated
05/07/2024
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