National Provider Identifier

Karen G Davenport

Karen G Davenport is listed in the NPPES registry with a primary specialty of Specialist in Rochester, NY and a listed phone number of (585) 737-5063.

NPI 1033795109Rochester, NYSpecialist

Profile Overview

NPI
1033795109
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
March 19, 2021
Last Updated
March 19, 2021

Practice Location

  • 127 Creek Hill Ln
  • Rochester, NY 14625-1125

Phone: (585) 737-5063

Specialties

  • Specialist (174400000X)
Full Record
NPI
1033795109
Entity Type
Individual
Last Name
Davenport
First Name
Karen
Middle Name
G
Name Prefix
Mrs.
Provider Other Last Name
Gibbons
Provider Other First Name
Karen
Provider Other Middle Name
Jane
Provider Other Name Prefix Text
Miss
Provider Other Last Name Type Code
1
Mailing Street Address
127 Creek Hill Ln
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14625-1125
Mailing Country
US
Mailing Phone
(585) 737-5063
Practice Street Address
127 Creek Hill Ln
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14625-1125
Practice Country
US
Practice Phone
(585) 737-5063
Enumeration Date
March 19, 2021
Last Updated
March 19, 2021
Sex
Female
Sole Proprietor
No
Certification Date
March 19, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)