Individual
KERRY DEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2240 WINROW AVE, USA MEDDAC, RWBAHC, FORT HUACHUCA, AZ 85613-7079
(520) 533-9287
(520) 533-5148
Mailing address
2240 WINROW AVE, USA MEDDAC, RWBAHC, FORT HUACHUCA, AZ 85613-7079
(520) 533-9287
(520) 533-5148
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
0000137822
TN
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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