Davenport, Kenneth Allan

Davenport, Kenneth Allan is an individual health care provider with primary practice located at 1414 W Fair Ave Suite 190, Marquette MI 49855-2675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Davenport, Kenneth Allan can be contacted via phone (906) 225-1321.

Contact Information

Primary practice address
1414 W Fair Ave Suite 190 Marquette MI 49855-2675
Phone: (906) 225-1321
Fax: (906) 228-9371
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301050335 Michigan

Profile Details

NPI number 1265443741
LBN Legal business name Davenport, Kenneth Allan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Dec 13th, 2018 - about 6 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 1265443741 NPPES
Michigan Other 0E26013 BLUE CROSS BLUE SHIELD MI
Michigan MEDICAID 1752485 BLUE CROSS BLUE SHIELD MI

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