Kenedi Ellen Elizabeth Divine, MD

NPI #1275276560 in Jasper, Indiana

Provider Information

NPI Number
1275276560
Entity Type
Individual
Name
Kenedi Ellen Elizabeth Divine, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
MD
Enumeration Date
Apr 15, 2022
Last Updated
Jul 10, 2025

Practice Location

Address
751 W 9TH ST
City
Jasper
State
Indiana
ZIP Code
47546-2609
Phone
(812) 996-7474

Specialties & Taxonomy Codes

Specialty
Family Medicine

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