ERIC A DAVENPORT

LOUISVILLE, KY
NPI1386004950
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: KY  165271)
Enumeration Date2016-02-25
Last Update Date2020-10-13
Business Address
ERIC A DAVENPORT RD
411 E CHESTNUT ST
LOUISVILLE, KY 40202-1713
Phone number: 502-588-3400
Mailing Address
ERIC A DAVENPORT RD
PO BOX 909
LOUISVILLE, KY 40201-0909
Phone number: 502-588-3400