Kenneth Lance Davenport (NPI# 1912483132, PAC ID# 9638427750) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1912483132 |
| PAC ID by PECOS | 9638427750 |
| Professional Enrollment ID | I20180807001431 |
| Full Name | Kenneth Lance Davenport |
| Organization Legal Name | WEBSTER EMERGENCY GROUP LLC |
| Address |
1 Medical Plaza Pl Minden LA 71055-3330 |
| Phone Number | 3183772321 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2961448170 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190088 | SPRINGHILL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1 Medical Plaza Pl, Minden, LA 71055-3330 | 3183772321 | WEBSTER EMERGENCY GROUP LLC |
| 401 11th St Ne, Springhill, LA 71075-4503 | 3185391700 | SPRINGHILL MEDICAL SERVICES INC |
| Organization Legal Name | WEBSTER EMERGENCY GROUP LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel I Piotter | Family Medicine | Webster Emergency Group LLC | 1 Medical Plaza Pl, Minden, LA 71055-3330 |
| Karen L Rhodes | Nurse Practitioner | Webster Emergency Group LLC | 1 Medical Plaza Pl, Minden, LA 71055-3330 |
| Daniel Frank Umoh | Emergency Medicine | Webster Emergency Group LLC | 1 Medical Plaza Pl, Minden, LA 71055-3330 |
| Carla J Watson | Nurse Practitioner | Webster Emergency Group LLC | 1 Medical Plaza Pl, Minden, LA 71055-3330 |
| Kelly Novak | Nurse Practitioner | Webster Emergency Group LLC | 1 Medical Plaza Pl, Minden, LA 71055-3330 |
| Adrian Pavlick | Family Medicine | Webster Emergency Group LLC | 1 Medical Plaza Pl, Minden, LA 71055-3330 |
| Angela Potter Dison | Nurse Practitioner | Webster Emergency Group LLC | 1 Medical Plaza Pl, Minden, LA 71055-3330 |
| Jeffrey L Giddens | Emergency Medicine | Webster Emergency Group LLC | 1 Medical Plaza Pl, Minden, LA 71055-3330 |
| Street Address |
1 MEDICAL PLAZA PL |
| City | MINDEN |
| State | LA |
| Zip | 71055-3330 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyla Lokitz | Internal Medicine | 1 Medical Plaza Pl, Minden, LA 71055-3330 | |
| Hiram M Vazquez | Anesthesiology | Minden Anesthesia LLC | 1 Medical Plaza Pl, Minden, LA 71055-3330 |
| Daniel I Piotter | Family Medicine | Webster Emergency Group LLC | 1 Medical Plaza Pl, Minden, LA 71055-3330 |
| Philip Jake Killgore | Certified Registered Nurse Anesthetist (crna) | Minden Anesthesia LLC | 1 Medical Plaza Pl, Minden, LA 71055-3330 |
| Karen L Rhodes | Nurse Practitioner | Webster Emergency Group LLC | 1 Medical Plaza Pl, Minden, LA 71055-3330 |
| Daniel Frank Umoh | Emergency Medicine | Webster Emergency Group LLC | 1 Medical Plaza Pl, Minden, LA 71055-3330 |
| Stanley J Smith | Urology | Regional Urology LLC | 1 Medical Plaza Pl, Minden, LA 71055-3330 |
| George W Byram | Certified Registered Nurse Anesthetist (crna) | Minden Anesthesia LLC | 1 Medical Plaza Pl, Minden, LA 71055-3330 |
| Randal P Thomas | Certified Registered Nurse Anesthetist (crna) | Minden Anesthesia LLC | 1 Medical Plaza Pl, Minden, LA 71055-3330 |
| Gregory D Powell | Certified Registered Nurse Anesthetist (crna) | Minden Anesthesia LLC | 1 Medical Plaza Pl, Minden, LA 71055-3330 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Brewer | Physical Therapy | Brewer Physical Therapy and Associates LLC | 101 Mbl Bank Dr, Minden, LA 71055-2900 |
| Misti Morgan | Nurse Practitioner | Minden Physician Practices LLC | 427 Homer Rd, Minden, LA 71055-2933 |
| Robin F Hogue | Psychiatry | Northwest Louisiana Human Services District | 435 Homer Rd, Minden, LA 71055-2933 |
| Derrell R Spurlock Ii | Optometry | 421 Homer Rd, Minden, LA 71055-2933 | |
| Sheila Mariano | Internal Medicine | Minden Physician Practices LLC | 427 Homer Rd, Minden, LA 71055-2933 |
| Jennifer A Long | Nurse Practitioner | Minden Physician Practices LLC | 427 Homer Rd, Minden, LA 71055-2933 |
| Lori C Cummings | Nurse Practitioner | Minden Physician Practices LLC | 427 Homer Rd, Minden, LA 71055-2933 |
| Graham Wayne Rachal | Nurse Practitioner | Minden Physician Practices LLC | 427 Homer Rd, Minden, LA 71055-2933 |
| Mark D Wilson | Orthopedic Surgery | Minden Physician Practices LLC | 427 Homer Rd, Minden, LA 71055-2933 |
| Lillian Leigh B Davis | Nurse Practitioner | Minden Physician Practices LLC | 427 Homer Rd, Minden, LA 71055-2933 |
| Find all physicians in zip 71055 | |||
| City | MINDEN |
| Zip Code | 71055 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MINDEN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kenneth Lance Davenport.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.