Individual provider · Type 1 NPI
Erica Davenport
Voluntary or Charitable Agency · Georgetown, KY
NPI number
1013620558
Active
Practice location
704 N Hamilton St
Georgetown, KY 40324-1829
Mailing address
3792 Sundart Dr
Lexington, KY 40517-3852
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Voluntary or Charitable Agency Primary | 251V00000X | None listed |
Voluntary or Charitable Agency: Definition to come...
About NPI 1013620558
Erica Davenport's National Provider Identifier is 1013620558, issued on Dec 29, 2022. The primary taxonomy on file is Voluntary or Charitable Agency (251V00000X), and the practice location is in Georgetown, KY. The record was last updated on Dec 29, 2022.