Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAEANN MAE DAVIDSON
Active Sole ProprietorRAEANN MAE DAVIDSON is a Podiatric Surgery healthcare provider located in MEDICINE LODGE, Kansas. NPI 1235789561 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · MEDICINE LODGE, KS
Registration Details
- NPI Number
- 1235789561
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 18, 2019 (6.8877832526904 yrs)
- Last Updated
- Sep 18, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
304 E WASHINGTON AVEMEDICINE LODGE, KS, 671041425Browse KS providers · Browse ZIP 67104
- Phone
- 6202131193
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.