MEDICARE: DR. JACQUELINE ANN DEVANEY DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	005323	MO

General Provider Information

NPI Number	:	1497802011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JACQUELINE ANN DEVANEY DC

Provider Business Mailing Address
First Line	:	8108 E 91ST ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64138-4364
Country	:	US
Telephone Number	:	816-786-2623
Fax Number	:	816-786-2623

Provider Business Practice Location Address
First Line	:	8108 E 91ST ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64138-4364
Country	:	US
Telephone Number	:	816-786-2623
Fax Number	:	816-786-2623

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	03/08/2017

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