Individual
DR. LINDA KRISTENE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6900 N PECOS RD, N LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
4436 CITYSCAPE GLEN CT, N LAS VEGAS, NV 89084-4400
(205) 603-7273
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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