| NPI | 1295113728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYTHE A DAVIS Owner/Apn 816-233-7258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014005307) |
| Enumeration Date | 2015-05-17 |
| Last Update Date | 2015-05-17 |