Provider Demographics
NPI:1225281587
Name:DEVLIN, KITTY G (MS MA LICAC)
Entity Type:Individual
Prefix:
First Name:KITTY
Middle Name:G
Last Name:DEVLIN
Suffix:
Gender:F
Credentials:MS MA LICAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4204 ROLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21210-2780
Mailing Address - Country:US
Mailing Address - Phone:410-838-4407
Mailing Address - Fax:
Practice Address - Street 1:1318 E CHURCHVILLE RD
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4707
Practice Address - Country:US
Practice Address - Phone:410-838-4407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-30
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU00828171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist