John William Davren, M.D.
Individual provider Active NPI Family Medicine Physician · Crescent Springs, KY
NPI 1174864474 · NPPES record last updated Mar 12, 2013
Key facts
- NPI
- 1174864474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35-040833 (OH)
- Practice address
- 2270 Edenderry Dr.
# 304
Crescent Springs, KY 41017-3926 - Phone
- (513) 432-4214
- NPI assigned
- Mar 12, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-040833 | OH | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35-040833 | OH | Yes |
Addresses
Primary practice location
2270 Edenderry Dr.
# 304
Crescent Springs, KY 41017-3926
Mailing address
2270 Edenderry Dr.
# 304
Crescent Springs, KY 41017-3926
Phone (513) 432-4214
Other providers in Crescent Springs, KY
- Sarah Cobble
- Laura Collins
- Zoe Cook
- Crescent Villa Fire Authority
- Ashley Nichole Curtis
- Christina Dilley
- Dr. Nanci L. Allen, DC, PSC, Inc
- Family First Vision Care Kentucky, LLC
- Family First Vision Care Kentucky, LLC
- FDC Georgetown PLLC
All providers in Crescent Springs, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.