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Individual

DR. LINDA KRISTENE DAVENPORT

Active
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Individual

DR. LINDA KRISTENE DAVENPORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29065
AL
207Q00000X
Family Medicine Physician
4301070217
MI
207Q00000X
Family Medicine Physician
MD29065
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123122
—
AL
01
—
51066871
BCBS OF ALABAMA
AL
Enumeration date
12/05/2005
Last updated
08/04/2023
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