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Mrs. Susan Diane Devine, TVI
Specialist in Bowling Green, Kentucky
NPI 1467653162

Susan Diane Devine is a Specialist based in Bowling Green, KY. Susan Diane Devine practices in Bowling Green, KY and has the professional credentials of TVI. The NPI Number for Susan Diane Devine is 1467653162 and holds a License No. VISION CERTIFICATION (Kentucky).

The current practice location address for Susan Diane Devine is 812 Wrenwood Dr, Bowling Green, KY and can be reached out via phone at 270-779-7564 and via fax at 270-842-6011. You can also correspond with Susan Diane Devine through the mailing address at 812 WRENWOOD DR, BOWLING GREEN, KY - 42103-1582 (mailing address contact number: 270-779-7564).

Location: 812 Wrenwood Dr, Bowling Green, KY, 42103-1582
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467653162
Provider Name
Susan Diane Devine
Credential
TVI
Provider Entity Type
Individual
Gender
Female
Address
812 Wrenwood Dr, Bowling Green, KY, 42103-1582
Phone Number
270-779-7564
Fax Number
270-842-6011
Provider Enumeration Date
05/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
812 Wrenwood Dr
City
Bowling Green
State
Kentucky
Zip
42103-1582
Phone Number
270-779-7564
Fax Number
270-842-6011
person
Provider Business Mailing Address Details
Address
812 Wrenwood Dr
City
Bowling Green
State
Kentucky
Zip
42103-1582
Phone Number
270-779-7564
Fax Number
270-842-6011
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
VISION CERTIFICATION (Tennessee)
Definition
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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