Kasey C Divine, CNM

NPI #1700131943 in Boonton, New Jersey

Provider Information

NPI Number: 1700131943
Entity Type: Individual
Name: Kasey C Divine, CNM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Midwife
Credential: CNM
Enumeration Date: Jul 13, 2012
Last Updated: May 10, 2022

Practice Location

Address: 408 MAIN ST STE 401A
City: Boonton
State: New Jersey
ZIP Code: 07005-1732
Phone: (201) 230-4464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X	Primary

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