Individual
ERIC A DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
411 E CHESTNUT ST, LOUISVILLE, KY 40202-1713
(502) 588-3400
(502) 588-3401
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-3400
(502) 588-3401
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
165271
KY
Other
Enumeration date
02/25/2016
Last updated
10/13/2020
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