Davis Companies Llc | |
1033 N Buckner St Ste 206 Derby KS 67037-1861 | |
(316) 789-8511 | |
(316) 789-8511 |
Full Name | Davis Companies Llc |
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Speciality | Marriage & Family Therapist |
Location | 1033 N Buckner St Ste 206, Derby, Kansas |
Authorized Official Name and Position | Kimberly Louise Davis (OWNER/PROVIDER) |
Authorized Official Contact | 3167898511 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Davis Companies Llc 1033 N Buckner St Ste 206 Derby KS 67037-1861 Ph: (316) 789-8511 | Davis Companies Llc 1033 N Buckner St Ste 206 Derby KS 67037-1861 Ph: (316) 789-8511 |
NPI Number | 1255877130 |
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Provider Enumeration Date | 01/16/2017 |
Last Update Date | 01/16/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255877130 | NPI | - | NPPES |
200452240B | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 744 (Kansas) | Primary |
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