Divine Prosperity LLC

NPI #1023548948 in Mustang, Oklahoma

Provider Information

NPI Number: 1023548948
Entity Type: Organization
Organization Name: Divine Prosperity LLC
Primary Specialty: Hospitalist
Enumeration Date: Jun 13, 2017
Last Updated: Jun 13, 2017

Practice Location

Address: 1104 E STATE HIGHWAY 152 UNIT 1
City: Mustang
State: Oklahoma
ZIP Code: 73064-5116
Phone: (405) 563-3998

Authorized Official

Name: KISHORE KUMAR, MD
Title: OWNER
Phone: (855) 541-2862

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospitalist	208M00000X	Primary

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