Provider Demographics
NPI:1194383471
Name:NADING, DEVON RAE (RT(R), RDMS, RVT)
Entity Type:Individual
Prefix:
First Name:DEVON
Middle Name:RAE
Last Name:NADING
Suffix:
Gender:F
Credentials:RT(R), RDMS, RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:KS
Mailing Address - Zip Code:67356-1605
Mailing Address - Country:US
Mailing Address - Phone:620-330-2258
Mailing Address - Fax:417-627-5335
Practice Address - Street 1:321 COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:KS
Practice Address - Zip Code:67356-1605
Practice Address - Country:US
Practice Address - Phone:620-330-2258
Practice Address - Fax:417-627-5335
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-03
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1747382085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty