Davenport, Kevan Edward

Davenport, Kevan Edward is an sole proprietor health care provider with primary practice located at 9600 N Point Rd , Fort Howard MD 21052-3050. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Davenport, Kevan Edward can be contacted via phone (410) 477-1800.

Contact Information

Primary practice address
9600 N Point Rd Fort Howard MD 21052-3050
Phone: (410) 477-1800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0000839 Maryland

Profile Details

NPI number 1184685794
LBN Legal business name Davenport, Kevan Edward
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2006
Last updated Jan 20th, 2011 - 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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