Kathleen Ann Divincenzo, M.D.

NPI #1477596989 in Cody, Wyoming

Provider Information

NPI Number: 1477596989
Entity Type: Individual
Name: Kathleen Ann Divincenzo, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jun 13, 2006
Last Updated: Oct 5, 2020

Practice Location

Address: 707 SHERIDAN AVE
City: Cody
State: Wyoming
ZIP Code: 82414
Phone: (307) 578-2480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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