Davenport, Kenda Dorisell

Davenport, Kenda Dorisell is an individual health care provider with primary practice located at 4436 N.W 50Th St , Oklahoma City OK 73112. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Davenport, Kenda Dorisell can be contacted via phone (405) 858-2733.

Contact Information

Primary practice address
4436 N.W 50Th St Oklahoma City OK 73112
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1942492533
LBN Legal business name Davenport, Kenda Dorisell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2007
Last updated Aug 16th, 2007 - about 16 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 1942492533 NPPES
Other NA NA

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