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Kyle Davenport, M.D.

Anesthesiology in Cincinnati, OH. Individual provider (NPI-1).

NPI number1497045488
StatusActive
Last updated in NPPESJun 24, 2015

Details

NPI
1497045488
Entity type
Individual (NPI-1)
Name
Kyle Davenport
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 12, 2011
Last updated
Jun 24, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology57.019878OHYes

Practice location

234 Goodman St
Cincinnati, OH 45219-2364

Phone 513-558-6356

Mailing address

4763 Clear View Ln
Oneida, WI 54155-9280

Phone 248-835-5722

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