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NPI Code Detail

MEDICARE: KRISTEN KAY DAVISON PA-C

MEDICARE: KRISTEN KAY DAVISON PA-C
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
1363A00000XPhysician Assistant079025IA

General Provider Information

NPI Number : 1922483304
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN KAY DAVISON PA-C
Provider Business Mailing Address
First Line : 1924 SUPERIOR ST
Second Line :
City : WEBSTER CITY
State : IA
Zip : 50595-3146
Country : US
Telephone Number : 515-832-3332
Fax Number : 515-832-1114
Provider Business Practice Location Address
First Line : 1924 SUPERIOR ST
Second Line :
City : WEBSTER CITY
State : IA
Zip : 50595-3146
Country : US
Telephone Number : 515-832-3332
Fax Number : 515-832-1114
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2015
Last Update Date : 06/14/2022

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Directions to “ KRISTEN KAY DAVISON PA-C” Practice Location

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