KENNETH LANCE DAVENPORT

SPRINGHILL, LA
NPI1912483132
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  AP10132)
Enumeration Date2018-07-11
Last Update Date2021-09-30
Business Address
KENNETH LANCE DAVENPORT APRN
401 11TH ST NE
SPRINGHILL, LA 71075-4503
Phone number: 318-539-1701
Mailing Address
KENNETH LANCE DAVENPORT APRN
401 11TH ST NE
SPRINGHILL, LA 71075-4503
Phone number: 318-539-1701
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