Provider Demographics
NPI:1740165323
Name:DAVENPORT, BARBARA LENAY
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:LENAY
Last Name:DAVENPORT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 PLUM FRK
Mailing Address - Street 2:
Mailing Address - City:SOUTH SHORE
Mailing Address - State:KY
Mailing Address - Zip Code:41175-8881
Mailing Address - Country:US
Mailing Address - Phone:740-821-2402
Mailing Address - Fax:
Practice Address - Street 1:285 PLUM FRK
Practice Address - Street 2:
Practice Address - City:SOUTH SHORE
Practice Address - State:KY
Practice Address - Zip Code:41175-8881
Practice Address - Country:US
Practice Address - Phone:740-821-2402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide