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Individual

MS. KALLI LYN DEVECKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
410 N STATE OF FRANKLIN RD STE 130, JOHNSON CITY, TN 37604-6972
(423) 431-2460
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5255
TN
2086S0102X
Surgical Critical Care Physician
Primary
5255
TN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/22/2017
Last updated
02/19/2026
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