Provider Demographics
NPI:1194934190
Name:DAVIS, KEISHA (MD)
Entity type:Individual
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First Name:KEISHA
Middle Name:
Last Name:DAVIS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3102 WOODVIEW RIDGE DR
Mailing Address - Street 2:H 102
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66103-3601
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF KANSAS MEDICAL CTR
Practice Address - Street 2:3901 RAINBOW BLVD.
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0001
Practice Address - Country:US
Practice Address - Phone:913-588-7076
Practice Address - Fax:913-588-7073
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
KS5613207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology