Healthcare Provider Details

I. General information

NPI: 1376324376
Provider Name (Legal Business Name): EMMA DAVIS HIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2023
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12541 FOSTER ST STE 220
OVERLAND PARK KS
66213-2301
US

IV. Provider business mailing address

12541 FOSTER ST STE 220
OVERLAND PARK KS
66213-2301
US

V. Phone/Fax

Practice location:
  • Phone: 913-498-2827
  • Fax:
Mailing address:
  • Phone: 913-498-2827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number122442
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: