Kelli L Davenport
Medical Specialty
Professional ID
- NPI: 1942224647
- PECOS ID: 5597810820
- Enrollment ID: I20090909000715
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 1996
Medical Practices
- Organization Name:
- Group Practice ID assigned by PECOS: 7416986369
- Number of Group Practice member: 0
Location
- Address1: 206 N Santa Fe
- Address2:
- City: Visalia
- State: California
- Zip Code: 93292
- Phone Number: (559)791-1779
Location
- Address1: 390 N Pearson Dr
- Address2:
- City: Porterville
- State: California
- Zip Code: 93257
- Phone Number: (559)791-1779
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):