| Kathleen M Davis, FNP | |
|
401 East Nodaway, Oregon, MO 64473-9689 | |
| (660) 446-3307 | |
| (660) 446-3302 |
| Full Name | Kathleen M Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 401 East Nodaway, Oregon, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093751778 | NPI | - | NPPES |
| 427175302 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 140311 (Missouri) | Primary |
| Entity Name | Northwest Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467497677 PECOS PAC ID: 7113835174 Enrollment ID: O20040720001347 |
| Entity Name | Minuteclinic Diagnostic Of Kansas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629005558 PECOS PAC ID: 7416043807 Enrollment ID: O20071017000125 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen M Davis, FNP 401 East Nodaway, Oregon, MO 64473-9689 Ph: (660) 446-3307 | Kathleen M Davis, FNP 401 East Nodaway, Oregon, MO 64473-9689 Ph: (660) 446-3307 |
Amanda Kurtz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 E Nodaway St, Oregon, MO 64473 Phone: 816-676-8148 | |
Mrs. Amanda Jo Auxier, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 S Washington St, Oregon, MO 64473 Phone: 660-446-2090 Fax: 660-446-2089 |