Individual
CLARE K DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
504 N STURGEON ST, MONTGOMERY CITY, MO 63361-1829
(573) 564-2990
Mailing address
2411 HOLMES ST, KANSAS CITY, MO 64108-2741
(816) 235-5412
(816) 235-5187
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2024034186
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2023
Last updated
11/25/2024
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