Individual
STEPHANIE LEA DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1000 E 24TH ST, KANSAS CITY, MO 64108-2776
(816) 965-1151
Mailing address
1555 NE RICE RD, LEES SUMMIT, MO 64086-6034
(816) 966-0900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2011018035
MO
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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