Individual
DEVIN ROCHELLE ISENBART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PBT
Contact information
Practice address
1204 7TH AVENUE, DODGE CITY, KS 67801
(620) 390-8903
Mailing address
1204 7TH AVENUE, DODGE CITY, KS 67801
(162) 039-0890
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
25735500
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93-1786546
TAX
KS
Enumeration date
06/26/2023
Last updated
06/26/2023
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