NPI 1467653162
Susan Diane Devine, TVI
Practice location
- Address
- 812 Wrenwood Dr, Bowling Green, KY 42103-1582
- Phone
- (270) 779-7564
- Fax
- (270) 842-6011
Registered specialties
Specialist
Primary
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.