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MR. KEVAN EDWARD DAVENPORT PA-C
NPI 1184685794
Physician Assistant - Medical in Fort Howard, MD

Active since March 31, 2006PECOS Enrolled
9600 N POINT RD, FORT HOWARD, MD 21052(410) 477-1800 Get Directions Write a Review

NPPES record last updated: January 20, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Kevan Edward Davenport Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEVAN EDWARD DAVENPORT PA-C (NPI 1184685794) is an individual medical provider in Fort Howard, Maryland, licensed in Maryland (C0000839) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184685794
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. KEVAN EDWARD DAVENPORTCredential: PA-C
Location Address9600 N POINT RDFort Howard, MD 21052-3050
Mailing Address9517 Angelina CirColumbia, MD 21045-5114 · (410) 477-1800
Phone(410) 477-1800
Sole ProprietorYes
Enumeration DateMarch 31, 2006
Last NPPES UpdateJanuary 20, 2011
✔ NPI 1184685794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MD · C0000839
9600 N POINT RD, Fort Howard, MD 21052
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kevan Edward Davenport Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHARON BALANSON M.D.
Internal Medicine
9600 N POINT RD
FORT HOWARD, MD 21052
Baltimore County (410) 477-7050
DR. SAMUEL KWASI KUMAH M.D.
Internal Medicine
9600 N POINT RD
FORT HOWARD, MD 21052
Baltimore County (410) 477-7050
DR. KISHORE UDYAVAR MD
Internal Medicine
9600 N POINT RD
FORT HOWARD, MD 21052
Baltimore County (410) 477-1800
DR. MARK ELWOOD NOLDER PH.D.
Psychologist (Counseling)
9600 N POINT RD, FT HOWARD VA CBOC
FORT HOWARD, MD 21052
Baltimore County (410) 477-1800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevan Davenport's NPI number?

The NPI number for Kevan Davenport is 1184685794. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Kevan Davenport located?

Kevan Davenport practices at 9600 N Point Rd, Fort Howard, MD 21052. The listed phone number is (410) 477-1800.

What is Kevan Davenport's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kevan Davenport enrolled in Medicare?

Yes. Kevan Davenport is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevan Davenport was last updated on January 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.