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NPI Code Detail

MEDICARE: ANN M DAVIS PHD

MEDICARE: ANN M DAVIS PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistLP1117KS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1680013642OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
231435018OTHERMOBCBS KANSAS CITY
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093824039
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN M DAVIS PHD
Provider Business Mailing Address
First Line : 2106 OLATHE BLVD MS 4004
Second Line :
City : KANSAS CITY
State : KS
Zip : 66160-7816
Country : US
Telephone Number : 913-588-6300
Fax Number : 913-588-2253
Provider Business Practice Location Address
First Line : 2000 OLATHE BLVD
Second Line :
City : KANSAS CITY
State : KS
Zip : 66160-8505
Country : US
Telephone Number : 913-588-6300
Fax Number : 913-588-2253
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 08/06/2025

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Directions to “ ANN M DAVIS PHD” Practice Location

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