Kayla Davidson, Llc | |
950 Office Park Rd Ste 306 West Des Moines IA 50265-2548 | |
(515) 859-8412 | |
Not Available |
Full Name | Kayla Davidson, Llc |
---|---|
Speciality | Psychologist |
Location | 950 Office Park Rd Ste 306, West Des Moines, Iowa |
Authorized Official Name and Position | Kayla Davidson (PSYCHOLOGIST) |
Authorized Official Contact | 5158598412 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kayla Davidson, Llc 950 Office Park Rd Ste 306 West Des Moines IA 50265-2548 Ph: (515) 859-8412 | Kayla Davidson, Llc 950 Office Park Rd Ste 306 West Des Moines IA 50265-2548 Ph: (515) 859-8412 |
NPI Number | 1629797576 |
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Provider Enumeration Date | 08/24/2022 |
Last Update Date | 08/24/2022 |
Certification Date | 08/24/2022 |
Medicare PECOS PAC ID | 6709262751 |
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Medicare Enrollment ID | O20220929000585 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629797576 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Kayla J Davidson |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1801129572 PECOS PAC ID: 3375880149 Enrollment ID: I20190201000426 |
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