Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RYAN KRISTOPHER DAVENPORT, L.A.C.
Active Sole ProprietorRYAN KRISTOPHER DAVENPORT, L.A.C. is a Acupuncturist healthcare provider located in MUNDELEIN, Illinois. NPI 1649518192 is currently active in the NPPES registry. Verify at CMS.
Acupuncturist · MUNDELEIN, IL
Registration Details
- NPI Number
- 1649518192
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 17, 2013 (13.548817372307 yrs)
- Last Updated
- Jan 17, 2013
- License
-
198.001118 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
700 N LAKE ST#102MUNDELEIN, IL, 600601357Browse IL providers · Browse ZIP 60060
- Phone
- 8479490063
- Primary Specialty
-
Acupuncturist
171100000X
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.