DR. Michael Keith Davenport, MD

NPI #1710982517 in Edgewood, Kentucky

Provider Information

NPI Number: 1710982517
Entity Type: Individual
Name: DR. Michael Keith Davenport, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Jun 17, 2005
Last Updated: Nov 18, 2019

Practice Location

Address: 20 MEDICAL VILLAGE DR STE 254
City: Edgewood
State: Kentucky
ZIP Code: 41017-5401
Phone: (859) 344-1600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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