National Provider Identifier
Kenneth H Davidson, MD
Kenneth H Davidson, MD is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician in Rochester, NY and a listed phone number of (585) 426-9278.
Profile Overview
- NPI
- 1871565861
- Provider Type
- Individual
- Primary Specialty
- Cardiovascular Disease Physician
- Enumeration Date
- February 03, 2006
- Last Updated
- October 09, 2013
Practice Location
- 1415 Portland Ave
- Suite 350
- Rochester, NY 14621-3038
Phone: (585) 426-9278
Specialties
- Cardiovascular Disease Physician (207RC0000X)
Full Record
- NPI
- 1871565861
- Entity Type
- Individual
- Last Name
- Davidson
- First Name
- Kenneth
- Middle Name
- H
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 1415 Portland Ave
- Mailing Address Line 2
- Suite 350
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3038
- Mailing Country
- US
- Mailing Phone
- (585) 426-9278
- Mailing Fax
- (585) 338-2738
- Practice Street Address
- 1415 Portland Ave
- Practice Address Line 2
- Suite 350
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3038
- Practice Country
- US
- Practice Phone
- (585) 426-9278
- Practice Fax
- (585) 338-2738
- Enumeration Date
- February 03, 2006
- Last Updated
- October 09, 2013
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Cardiovascular Disease Physician (207RC0000X)
- Other Identifiers
- 005002871 (Blue Shield Western Ny), P010103663 (Blue Choice), 07341 (Choice Care), 10453 (Ghi), 9913 (Blue Cross Blue Shield), Y019296 (Champus), 00450853 (NY), MD4426 (Preferred Care), 005002871 (Community Blue)