| Mckay Knight Davis, MACL, LPC, CRADC | |
|
689 W Juan Tabo Ln, Republic, MO 65738-1487 | |
| (417) 838-7105 | |
| Not Available |
| Full Name | Mckay Knight Davis |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 689 W Juan Tabo Ln, Republic, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275967796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 8056 (Missouri) | Secondary |
| 101YP2500X | Counselor - Professional | 2013022743 (Missouri) | Primary |
| Entity Name | Doctor On Demand Professionals Of Kansas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881477339 PECOS PAC ID: 8921444548 Enrollment ID: O20240306000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Mckay Knight Davis, MACL, LPC, CRADC 689 W Juan Tabo Ln, Republic, MO 65738-1487 Ph: (417) 838-7105 | Mckay Knight Davis, MACL, LPC, CRADC 689 W Juan Tabo Ln, Republic, MO 65738-1487 Ph: (417) 838-7105 |
Mrs. Kimberly Dawn Dolan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 281 Us Highway 60 W, Republic, MO 65738 Phone: 417-402-5000 Fax: 855-229-6383 | |
Kari R Sugiyama, MS, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 281 Us Highway 60 W, Republic, MO 65738 Phone: 417-203-0245 Fax: 417-280-3369 | |
Jessica Lee Brockmeier, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 283 Us Highway 60 W, Republic, MO 65738 Phone: 172-481-7484 Fax: 417-200-2686 | |
Courtney J Klingsporn, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 281 Us Highway 60 W, Republic, MO 65738 Phone: 417-216-6189 | |
Hannah Laxton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 283 Us Highway 60 W, Republic, MO 65738 Phone: 417-693-1891 | |
Caleb Eggleston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 283 Us Highway 60 W, Republic, MO 65738 Phone: 417-216-6189 |