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Kellie Davidson
NPI 1245554864 · on the registry since 2010 · sole proprietor
Practice
- Address
- 420 S Fulton St
Butler, MO 64730 - Phone
- (660) 679-0653
- Fax
- (660) 200-3010
- Organisation at this address
- Butler R-V School District
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-03-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri