Davenport, Larry Paul
Davenport, Larry Paul is an individual health care provider with primary practice located at 116 Progress Dr , Mount Vernon KY 40456-8590. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Davenport, Larry Paul can be contacted via phone (606) 256-2143.Contact Information
Primary practice address
116 Progress Dr
Mount Vernon KY 40456-8590
Phone: (606) 256-2143
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 256466 | Kentucky |
Profile Details
| NPI number | 1265185409 |
|---|---|
| LBN Legal business name | Davenport, Larry Paul |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2022 |
| Last updated | Jan 28th, 2022 - about 2 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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