Individual
MARY KRISTIN DAVIS BIMEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
18351 W 119TH ST, OLATHE, KS 66061-8005
(866) 389-2727
Mailing address
1035 FIRETREE AVE, BALDWIN CITY, KS 66006-4173
(785) 317-2986
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-76240-052
KS
Other
Enumeration date
05/09/2014
Last updated
05/09/2014
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