Individual
MR. KEITH JOSEPH DEVOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
69 DOGWOOD AVE, MOUNTAIN HOME, TN 37684
(423) 928-6174
(423) 926-2258
Mailing address
PO BOX 4000, JAMES H. QUILLEN VA MEDICAL CENTER, MOUNTAIN HOME, TN 37684
(423) 926-1174
(423) 979-3519
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD028474
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0140008139
CIGNA
—
01
—
130014281
RR MEDICARE
—
01
—
3040072
BCBS
TN
01
—
3803864
UMWA
—
05
—
3803864
—
TN
01
—
602002835
PHP CARITEN
—
05
—
6104207
—
VA
05
—
64066285
—
KY
05
—
890643V
—
NC
01
—
A91415
JOHN DEERE
—
Enumeration date
05/20/2006
Last updated
10/03/2025
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