Kent J Davenport BC HIS

NPI 1720316789 - Hearing Instrument Specialist - 237700000X

NPI Details
NPI 1720316789
Gender Male
Enumeration Date 12/01/2009
Last Updated 12/01/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
2255 RENAISSANCE DR STE A
LAS VEGAS NV, 89119-6194, US
Phone (702) 369-1321
Fax (702) 798-4865
Business Location
2255 RENAISSANCE DR STE A
LAS VEGAS NV, 89119-6194, US
Phone (702) 369-1321
Fax (702) 798-4865
Toxanomy
Taxonomy Code 237700000X
License State Nevada
License Number 66
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According to our database, Kent J Davenport BC HIS NPI is 1720316789, taxonomy code is 237700000X and license number is 66, license state is located at Nevada. Kent J Davenport BC HIS physically located at 2255 Renaissance Dr Ste A, Las Vegas NV, 89119-6194. NPI Number Kent J Davenport BC HIS has the Individual type.

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1720316789 NPI number is provided on an as is basis without warranty of any kind. 1720316789 is maintained by the National Plan & Provider Enumeration System. The contents of Kent J Davenport BC HIS are for informational purposes only.