Individual
KATHERINE P DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1971
(757) 668-7703
(757) 668-8860
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A121968
CA
208600000X
Surgery Physician
MD038901
DC
2086S0120X
Pediatric Surgery Physician
Primary
0101277135
VA
2086S0120X
Pediatric Surgery Physician
52372
AZ
Other
Enumeration date
06/19/2008
Last updated
07/31/2023
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