| Doctor Name: | KERRY DEVINE |
| NPI Number: | 1578922852 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 0000137822 |
| Business Practice Address: | 2240 Winrow Ave Usa Meddac, Rwbahc Fort Huachuca, AZ - 856137079 |
| Business Phone Number: | 5205339287 |
| Business Fax Number: | 5205335148 |
| Mailing Address: | 2240 Winrow Ave, Usa Meddac, Rwbahc FORT HUACHUCA |
| State: | AZ |
| Postal Code: | 856137079 |
| Phone Number: | 5205339287 |
| Fax Number: | 5205335148 |
| NPI Enumeration Date: | 02/16/2016 |
| NPI Last Update Date: | 02/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | 0000137822 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |