Kevan Edward Davenport PA-C

NPI 1184685794 - Physician Assistant - 363AM0700X

NPI Details
NPI 1184685794
Gender Male
Enumeration Date 03/31/2006
Last Updated 01/20/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
9600 N POINT RD
FORT HOWARD MD, 21052-3050, US
Phone (410) 477-1800
Fax
Business Location
9517 ANGELINA CIR
COLUMBIA MD, 21045-5114, US
Phone (410) 477-1800
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Maryland
License Number C0000839
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According to our database, Mr. Kevan Edward Davenport PA-C NPI is 1184685794, taxonomy code is 363AM0700X and license number is C0000839, license state is located at Maryland. Kevan Edward Davenport PA-C physically located at 9600 N Point Rd, Fort Howard MD, 21052-3050. NPI Number Kevan Edward Davenport PA-C has the Individual type.

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1184685794 NPI number is provided on an as is basis without warranty of any kind. 1184685794 is maintained by the National Plan & Provider Enumeration System. The contents of Kevan Edward Davenport PA-C are for informational purposes only.