Individual
KENT J DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BC HIS
Contact information
Practice address
2255 RENAISSANCE DR STE A, LAS VEGAS, NV 89119-6194
(702) 369-1321
(702) 798-4865
Mailing address
2255 RENAISSANCE DR STE A, LAS VEGAS, NV 89119-6194
(702) 369-1321
(702) 798-4865
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
66
NV
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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