Healthcare Provider Details

I. General information

NPI: 1407552383
Provider Name (Legal Business Name): DEVIN BREY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEVIN GIGSTAD

II. Dates (important events)

Enumeration Date: 02/02/2023
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14989 K 192 HWY
WINCHESTER KS
66097-3106
US

IV. Provider business mailing address

14989 K 192 HWY
WINCHESTER KS
66097-3106
US

V. Phone/Fax

Practice location:
  • Phone: 913-426-4150
  • Fax:
Mailing address:
  • Phone: 913-426-4150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number84430
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number123259
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: