Individual
DR. MICHAEL DAVID DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12300 METCALF AVE, DEPARTMENT OF ANESTHESIOLOGY, OVERLAND PARK, KS 66213-1324
(816) 932-7940
Mailing address
901 E 104TH ST, MAILSTOP 400S, KANSAS CITY, MO 64131
(816) 502-8782
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
05-34284
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0534284
KS LICENSE
KS
Enumeration date
06/27/2006
Last updated
10/05/2018
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