Individual
MS. KATHLEEN PATRICIA THERESA DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
71 PARKMAN ST, APT 3, BROOKLINE, MA 02446-7043
(703) 887-6444
Mailing address
71 PARKMAN ST, APARTMENT 3, BROOKLINE, MA 02446-7043
(703) 887-6444
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
255964
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/25/2013
Last updated
02/10/2017
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