Individual
KATIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8826 SANTA FE DR, OVERLAND PARK, KS 66212-3655
(913) 210-2346
Mailing address
8731 REEDS RD, OVERLAND PARK, KS 66207-2114
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-107999
KS
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L301787
KS
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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