Davenport, Kathleen

Davenport, Kathleen is an individual health care provider with primary practice located at 300 Palm Beach Lakes Blvd , West Palm Beach FL 33401-2710. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Davenport, Kathleen can be contacted via phone (561) 657-4600.

Contact Information

Primary practice address
300 Palm Beach Lakes Blvd West Palm Beach FL 33401-2710
Phone: (561) 657-4600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME116952 Florida

Profile Details

NPI number 1437314465
LBN Legal business name Davenport, Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2008
Last updated Dec 18th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437314465 NPPES
Florida MEDICAID 019821000

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