Whalio Doctors

NPI 1467653162

Susan Diane Devine, TVI

Practitioner Specialist Bowling Green, KY

Practice location

Address
812 Wrenwood Dr, Bowling Green, KY 42103-1582
Phone
(270) 779-7564
Fax
(270) 842-6011

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence VISION CERTIFICATION (TN)

Registry record

NPI
1467653162
Entity type
Individual
Sex (as registered)
Female
NPI issued
30 May 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.