Search › Oklahoma › 163WD0400X
Brenda Davis, CDE
NPI 1922417674 · on the registry since 2014 · sole proprietor
Practice
- Address
- 105365 South Hwy 102
Mcloud, OK 74851 - Phone
- (405) 964-2081
- Fax
- (405) 964-2170
- Organisation at this address
- Kickapoo Tribal Health Center
Kickapoo Tribal Health CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 163WD0400X
163WD0400X
- Also registered as
- 163WD0400X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-08-07
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 Oklahoma