Davenport, Kelli P.

Davenport, Kelli P. is an individual health care provider with primary practice located at 600 Moye Blvd Ecu Physicians Endocrinology, Greenville NC 27834-4300. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Davenport, Kelli P. can be contacted via phone (252) 744-1959.

Contact Information

Primary practice address
600 Moye Blvd Ecu Physicians Endocrinology Greenville NC 27834-4300
Phone: (252) 744-1959
Fax: (252) 744-1200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X L003889 North Carolina

Profile Details

NPI number 1073887956
LBN Legal business name Davenport, Kelli P.
Credentials MS, RD, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2012
Last updated Apr 12th, 2012 - about 13 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 1073887956 NPPES
North Carolina Other 169GG BCBSNC

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