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Individual

DR. KEVIN LYLE DEVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
3919 N MAPLE ST, SPOKANE, WA 99205-1349
(509) 444-8200
(509) 434-0392
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(360) 536-3790

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60872061
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
60872061
WASHINGTON STATE DOH
WA
Enumeration date
03/26/2019
Last updated
04/25/2024
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