Individual
MRS. KATIE L DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 S ROAN ST, SUITE 425, JOHNSON CITY, TN 37601-7556
(423) 232-6281
(423) 232-6282
Mailing address
2700 S ROAN ST, SUITE 425, JOHNSON CITY, TN 37601-7556
(423) 232-6281
(423) 232-6282
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/18/2013
Last updated
01/14/2015
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