Ken Davenport
Medical Specialty
Professional ID
- NPI: 1891976833
- PECOS ID: 8123297207
- Enrollment ID: I20110805000433
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2011
Hospital Service
- Hospital CCN1: 010040
- Business Name (LBN)1: Gadsden Regional Medical Center
- Hospital CCN2: 010046
- Business Name (LBN)2: Riverview Regional Medical Center
- Hospital CCN3: 010104
- Business Name (LBN)3: Grandview Medical Center
Medical Practices
- Organization Name: Surgical Associates Of Gadsden Pc
- Group Practice ID assigned by PECOS: 3274598693
- Number of Group Practice member: 2
Location
- Address1: 900 Goodyear Ave
- Address2: Suite B
- City: Gadsden
- State: Alabama
- Zip Code: 35903
- Phone Number: (256)492-0020
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):