person
Kenneth Lance Davenport, APRN
Family Nurse Practitioner in Springhill, Louisiana
NPI 1912483132

Kenneth Lance Davenport is a Family Nurse Practitioner based in Springhill, LA and is specialized in Family. Kenneth Lance Davenport practices in Springhill, LA and has the professional credentials of APRN. The NPI Number for Kenneth Lance Davenport is 1912483132 and holds a License No. AP10132 (Louisiana).

The current practice location address for Kenneth Lance Davenport is 401 11Th St Ne, Springhill, LA and can be reached out via phone at 318-539-1701 and via fax at 318-539-5688.

Location: 401 11Th St Ne, Springhill, LA, 71075-4503
person
Provider Profile Details
NPI Number
1912483132
Provider Name
Kenneth Lance Davenport
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
401 11Th St Ne, Springhill, LA, 71075-4503
Phone Number
318-539-1701
Fax Number
318-539-5688
Provider Enumeration Date
07/11/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2477765 05 LA
institution
Provider Business Practice Location Address Details
Address
401 11Th St Ne
City
State
Zip
71075-4503
Phone Number
318-539-1701
Fax Number
318-539-5688
person
Provider Business Mailing Address Details
Address
401 11Th St Ne
City
State
Zip
71075-4503
Phone Number
318-539-1701
Fax Number
318-539-5688
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP10132 (Louisiana)
Definition
Definition to come...
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