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General NPI Number Information
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NPI Number | 1679527980
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Entity Type | Individual
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Provider Name | KEITH JOSEPH DEVOS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 69 DOGWOOD AVE
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City | MOUNTAIN HOME
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State | TN
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Zip | 37684
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Country | US
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Telephone | 423-928-6174
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Fax | 423-926-2258
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Provider Business Mailing Address
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Address Line | PO BOX 4000 JAMES H. QUILLEN VA MEDICAL CENTER
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City | MOUNTAIN HOME
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State | TN
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Zip | 37684
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Country | US
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Telephone | 423-926-1174
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Fax | 423-979-3519
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD028474
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License Number State | TN
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