Individual
MR. JOSEPH WESLEY DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
5308 LONGVIEW RD, KANSAS CITY, MO 64137-2731
(816) 763-9165
Mailing address
10395B N CHERRY DR APT 13C, KANSAS CITY, MO 64155-5028
(816) 729-9105
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2005028628
MO
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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