Individual
CORDELIA MARIE DEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 ENVOY CIR, SUITE 1105, LOUISVILLE, KY 40299-1960
(502) 715-3369
Mailing address
3500 GREENWOOD AVE, LOUISVILLE, KY 40211-1615
(502) 715-3369
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
202434
KY
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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