All Medicaid billing entities listing DAVENPORT, KENNETH (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| South Carolina | 1 | $425K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | JACKSON DAVENPORT VISION, INC. | SUMMERVILLE, SC | Optometrist | $425K |