Davenport, Brenda Kay

Davenport, Brenda Kay is an individual health care provider with primary practice located at 201 S Lloyd St Suite E201, Aberdeen SD 57401-4552. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Davenport, Brenda Kay can be contacted via phone (605) 622-2545.

Contact Information

Primary practice address
201 S Lloyd St Suite E201 Aberdeen SD 57401-4552
Phone: (605) 622-2545
Fax: (605) 622-2531
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CP000401 South Dakota

Profile Details

NPI number 1265560163
LBN Legal business name Davenport, Brenda Kay
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Nov 12th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265560163 NPPES
South Dakota Other 255183 MIDLANDS CHOICE
South Dakota MEDICAID 6829900 MIDLANDS CHOICE
South Dakota MEDICAID 19897 MIDLANDS CHOICE
South Dakota Other 9240654 MIDLANDS CHOICE
South Dakota Other 340071053796 MIDLANDS CHOICE
South Dakota Other 4992470 MIDLANDS CHOICE

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