Healthcare Provider Details

I. General information

NPI: 1104751767
Provider Name (Legal Business Name): DEVANEY COLE NBC-HWC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 N 62ND ST
KANSAS CITY KS
66102-1319
US

IV. Provider business mailing address

1415 N 62ND ST
KANSAS CITY KS
66102-1319
US

V. Phone/Fax

Practice location:
  • Phone: 913-220-0377
  • Fax:
Mailing address:
  • Phone: 913-220-0377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: