Individual provider · Type 1 NPI

Susan Diane Devine, T.V.I.

Specialist · Bowling Green, KY

NPI number 1467653162 Active

Practice location

812 Wrenwood Dr
Bowling Green, KY 42103-1582

Call (270) 779-7564 Map

Fax (270) 842-6011

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XVISION CERTIFICATION (TN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1467653162

Susan Diane Devine, T.V.I.'s National Provider Identifier is 1467653162, issued on May 30, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bowling Green, KY. The record was last updated on Jul 8, 2007.