Individual
MRS. KIMBERLY LOUISE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCMFT
Contact information
Practice address
345 RIVERVIEW ST, SUITE LL2, WICHITA, KS 67203-4200
(316) 262-5253
Mailing address
1033 N BUCKNER ST, DERBY, KS 67037-1824
(316) 209-7316
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
744
KS
Other
Enumeration date
08/13/2007
Last updated
11/29/2010
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