Individual
MRS. MARY K DEVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5701 W 119TH ST, SUITE 330, OVERLAND PARK, KS 66209-3721
(913) 345-3650
(913) 345-3797
Mailing address
5701 W 119TH ST, SUITE 330, OVERLAND PARK, KS 66209-3721
(913) 345-3650
(913) 345-3797
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0428486
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376581090
—
MO
01
—
26812027
BLUE SHIELD OF KC
MO
01
—
P00165656
MEDICARE RR
KS
Enumeration date
06/03/2006
Last updated
05/07/2011
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