Healthcare Provider Details

I. General information

NPI: 1124720057
Provider Name (Legal Business Name): SAVANNA R COX BEHYMER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2023
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 COLUMBINE DR STE 100
HOLTON KS
66436-8824
US

IV. Provider business mailing address

909 WASHINGTON AVE
HOLTON KS
66436-1344
US

V. Phone/Fax

Practice location:
  • Phone: 785-364-2116
  • Fax:
Mailing address:
  • Phone: 785-364-2126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number04-53591
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: