Ken K Davenport in Gadsden - Surgery

Ken K Davenport - NPI 1891976833

Ken K Davenport is a Surgery in Gadsden, Alabama. Ken K Davenport practices all healthcare services and medical treatments related to Surgery. The NPI Number for Ken K Davenport is 1891976833. The last update date is 2011-09-07.

Ken K Davenport's current location address is 900 Goodyear Ave, Gadsden, Alabama. You can contact this provider via phone number 2564920020 and fax number 2564920029. The mailing address for Ken K Davenport is 900 Goodyear Ave, Gadsden, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Ken K Davenport
Address 900 Goodyear Ave, Gadsden, Alabama
Phone Number 2564920020
Fax Number 2564920029
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1891976833
Provider Enumeration Date 2007-11-19
Last Updated Date 2011-09-07

Provider Mailing Address Detail

Address 900 Goodyear Ave
City Gadsden
State Alabama (AL)
Post Code 359031108
Phone Number 2564920020
Fax Number 2564920029

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 29230
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
130499 AL --
511-17039 AL BLUE CROSS BLUE SHIELD ALABAMA
D570 AL MEDICARE GROUP NUMBER
529203130 AL --

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FAQs about Ken K Davenport

What is the unique 10-digit identification code issued to Ken K Davenport by the Centers for Medicare & Medicaid Services?

The Ken K Davenport has been assigned the NPI (National Provider Identifier) 1891976833 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Ken K Davenport is physically located?

The Ken K Davenport is situated at the following address: 900 Goodyear Ave, Gadsden, AL 359031108.

What is the area of specialization for Ken K Davenport, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Ken K Davenport is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.

When was the Ken K Davenport's 1891976833 issued?

The Ken K Davenport's 1891976833 was issued on 2007-11-19.

As of what date was the information regarding Ken K Davenport, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Ken K Davenport, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-09-07.

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