Individual
KYLE DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 558-6356
Mailing address
4763 CLEAR VIEW LN, ONEIDA, WI 54155-9280
(248) 835-5722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
57.019878
OH
Other
Enumeration date
04/12/2011
Last updated
06/24/2015
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