Kathy A Divine is a Springfield, Missouri based nurse practitioner. Active license number of Kathy A Divine is 2017003053 for Family in Missouri. Her current practice location is 1235 E Cherokee St, Springfield. Patients can reach her at 417-820-2600 and her NPI number (Unique professional ID assigned by NPPES) is 1730622705. Kathy A Divine has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kathy A Divine speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Kathy A Divine
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Practice Address:
1235 E Cherokee St, Springfield, Missouri, 65804-2203
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1730622705
NPI Enumeration Date:
23 Nov, 2016
NPI Last Update On:
03 Feb, 2017
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kathy A Divine are as mentioned below.
License Number
Specialization
State
Status
2017003053
Family
Missouri
Primary
079888
Registered Nurse
Missouri
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Kathy A Divine such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
PENDING
Medicaid
Missouri
PENDING
Medicaid
Arkansas
PENDING
Medicaid
Oklahoma
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kathy A Divine Po Box 505164, Saint Louis, Missouri
Zip:
63150-5164
Phone Number:
855-420-7900
Patients can reach Kathy A Divine at 1235 E Cherokee St, Springfield, Missouri or can call to book an appointment on 417-820-2600.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.