MEDICARE: ALEXANDRIA DAVIS

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
1	106H00000X	Marriage & Family Therapist	03461	KS

General Provider Information

NPI Number	:	1407486160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRIA DAVIS

Provider Business Mailing Address
First Line	:	527 N GROVE ST
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67214-4520
Country	:	US
Telephone Number	:	316-262-2415
Fax Number	:

Provider Business Practice Location Address
First Line	:	4035 E HARRY ST
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67218-3724
Country	:	US
Telephone Number	:	316-660-7685
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2020
Last Update Date	:	04/14/2026

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Directions to “ ALEXANDRIA DAVIS ” Practice Location

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