Individual
DEVON EZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
5324 MASTIN ST, MERRIAM, KS 66203-1934
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
1654006
CO
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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