Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVAN EDWARD DAVENPORT, PA-C
Active Sole ProprietorMR. KEVAN EDWARD DAVENPORT, PA-C is a Medical Physician Assistant healthcare provider located in FORT HOWARD, Maryland. NPI 1184685794 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · FORT HOWARD, MD
Registration Details
- NPI Number
- 1184685794
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 31, 2006 (20.407525608148 yrs)
- Last Updated
- Jan 20, 2011
- License
-
C0000839 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9600 N POINT RDFORT HOWARD, MD, 210523050Browse MD providers · Browse ZIP 21052
- Phone
- 4104771800
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.