Dr Kenneth Allan Davenport, MD | |
1414 W Fair Ave, Suite 190, Marquette, MI 49855-2675 | |
(906) 225-1321 | |
(906) 228-9371 |
Full Name | Dr Kenneth Allan Davenport |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 1414 W Fair Ave, Marquette, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265443741 | NPI | - | NPPES |
0E26013 | Other | MI | BLUE CROSS BLUE SHIELD MI |
1752485 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 4301050335 (Michigan) | Primary |
Entity Name | Orthopaedic Surgery Associates Of Marquette Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730199845 PECOS PAC ID: 5799702437 Enrollment ID: O20051101000455 |
Mailing Address | Practice Location Address |
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Dr Kenneth Allan Davenport, MD 1414 W Fair Ave, Suite 190, Marquette, MI 49855-2675 Ph: (906) 225-1321 | Dr Kenneth Allan Davenport, MD 1414 W Fair Ave, Suite 190, Marquette, MI 49855-2675 Ph: (906) 225-1321 |
Clayton Austin Peimer, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1414 W Fair Ave, Suite 190, Marquette, MI 49855 Phone: 906-225-4822 Fax: 906-225-9371 | |
Zachary Leonard, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1414 W Fair Ave, Suite 190, Marquette, MI 49855 Phone: 906-225-1321 Fax: 906-228-9371 | |
Bradley Q Warlick, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1414 W Fair Ave, Suite 190, Marquette, MI 49855 Phone: 906-225-1321 Fax: 906-228-9371 | |
Dr. Jason Doppelt, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1414 W Fair Ave, Suite 190, Marquette, MI 49855 Phone: 906-225-1321 Fax: 906-228-9371 | |
Garrett James Kerns, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1414 W Fair Ave Ste 190, Marquette, MI 49855 Phone: 906-225-1321 Fax: 906-228-9371 | |
Keith Connolly, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1414 W Fair Ave Ste 190, Marquette, MI 49855 Phone: 906-225-1321 Fax: 906-228-9371 |