Provider Demographics
NPI:1831380435
Name:DEVINE, KATHLEEN MARY (MD)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:MARY
Last Name:DEVINE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2021 K ST NW
Mailing Address - Street 2:SUITE 701
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-1003
Mailing Address - Country:US
Mailing Address - Phone:202-296-2595
Mailing Address - Fax:202-296-2835
Practice Address - Street 1:2021 K ST NW
Practice Address - Street 2:SUITE 701
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1003
Practice Address - Country:US
Practice Address - Phone:202-296-2595
Practice Address - Fax:202-296-2835
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2016-04-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0073186207VE0102X
DCMD042295207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology