Davis, Debra D

Davis, Debra D is an individual health care provider with primary practice located at 7111 E 21St St N Ste A , Wichita KS 67206-1078. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Davis, Debra D can be contacted via phone (316) 684-2851.

Contact Information

Primary practice address
7111 E 21St St N Ste A Wichita KS 67206-1078
Phone: (316) 684-2851
Fax: (316) 683-5239
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1500252 Kansas

Profile Details

NPI number 1770586570
LBN Legal business name Davis, Debra D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jan 5th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770586570 NPPES
Kansas MEDICAID 100343060B

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