| Doctor Name: | MRS. KATHY C DAVENPORT |
| NPI Number: | 1073694717 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP-BC |
| License Number: | R0044227 |
| Business Practice Address: | 1609 N Strong Blvd Ste 300 Mcalester, OK - 745013881 |
| Business Phone Number: | 9184233400 |
| Business Fax Number: | 9184205051 |
| Mailing Address: | Po Box 1146, 1609 N Strong Blvd Suite 300 MCALESTER |
| State: | OK |
| Postal Code: | 745021146 |
| Phone Number: | 9184233400 |
| Fax Number: | 9184205051 |
| NPI Enumeration Date: | 10/18/2006 |
| NPI Last Update Date: | 02/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | R0044227 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |