Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maurice Davenport Jr.

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114744174

Maurice Davenport Jr. is a Student in an Organized Health Care Education/Training Program in Louisville, Kentucky. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

204 E Market St # A
Louisville, KY 40202-1218
Phone: (803) 900-2904
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114744174
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 23, 2024
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024

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