Individual
DEVAN NICOLE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA/BS
Contact information
Practice address
721 S 37TH ST, LOUISVILLE, KY 40211-2809
(502) 415-6641
Mailing address
721 S 37TH ST, LOUISVILLE, KY 40211-2809
(502) 415-6641
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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