Kim Davenport

NPI #1316340003 in Belleville, Michigan

Provider Information

NPI Number: 1316340003
Entity Type: Individual
Name: Kim Davenport
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Oct 8, 2014
Last Updated: Jul 10, 2016

Practice Location

Address: 46315 WEAR RD
City: Belleville
State: Michigan
ZIP Code: 48111-9324
Phone: (313) 407-0294

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary
Social Worker	104100000X

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