Individual
KATHLEEN DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 PALM BEACH LAKES BLVD, WEST PALM BEACH, FL 33401-2710
(561) 657-4600
Mailing address
PO BOX 22076, NEW YORK, NY 10087-2076
(561) 657-4600
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME116952
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019821000
—
FL
Enumeration date
07/18/2008
Last updated
12/18/2020
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