Davenport, Kenda Dorisell

Davenport, Kenda Dorisell is an individual health care provider with primary practice located at 921 Ne 13Th St , Oklahoma City OK 73104-5007. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Davenport, Kenda Dorisell can be contacted via phone (405) 492-8771.

Contact Information

Primary practice address
921 Ne 13Th St Oklahoma City OK 73104-5007
Phone: (405) 492-8771
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
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 Jun 14th, 2024 - about 2 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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