Davenport, Kim

Davenport, Kim is an individual health care provider with primary practice located at 46315 Wear Rd , Belleville MI 48111-9324. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Social Worker. Technologists, Technicians & Other Technical Service Providers / Technician, Other is her primary health care specialty. Davenport, Kim can be contacted via phone (313) 407-0294.

Contact Information

Primary practice address
46315 Wear Rd Belleville MI 48111-9324
Phone: (313) 407-0294
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1316340003
LBN Legal business name Davenport, Kim
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2014
Last updated Jul 10th, 2016 - about 9 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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