Kevan Edward Davenport in Columbia - Medical

Kevan Edward Davenport - NPI 1184685794

Kevan Edward Davenport is a Medical in Columbia, Maryland. Kevan Edward Davenport practices all healthcare services and medical treatments related to Medical. The NPI Number for Kevan Edward Davenport is 1184685794. The last update date is 2011-01-20.

Kevan Edward Davenport's current location address is 9517 Angelina Cir, Columbia, Maryland. You can contact this provider via phone number 4104771800. The mailing address for Kevan Edward Davenport is 9517 Angelina Cir, Columbia, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevan Edward Davenport
Address 9517 Angelina Cir, Columbia, Maryland
Phone Number 4104771800
Fax Number
Sole Proprietor Y
Credentials PA-C

NPI Number Detail

NPI Number 1184685794
Provider Enumeration Date 2006-03-31
Last Updated Date 2011-01-20

Provider Mailing Address Detail

Address 9517 Angelina Cir
City Columbia
State Maryland (MD)
Post Code 210455114
Phone Number 4104771800
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No C0000839
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Kevan Edward Davenport

What is the unique identifier code issued to Kevan Edward Davenport by the Centers for Medicare & Medicaid Services?

The Kevan Edward Davenport has been assigned the NPI (National Provider Identifier) 1184685794. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Kevan Edward Davenport is geographically located?

The Kevan Edward Davenport is physically situated at the following location: 9517 Angelina Cir, Columbia, MD, 210455114.

What is Kevan Edward Davenport's area of expertise and its corresponding taxonomy classification?

The Kevan Edward Davenport's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.

On what date was the 1184685794 assigned to Kevan Edward Davenport?

The Kevan Edward Davenport was issued its 1184685794 on 2006-03-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Kevan Edward Davenport most recently updated or refreshed?

The details pertaining to the Kevan Edward Davenport, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-01-20.

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