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Search › Indiana › 207Q00000X

Kenedi Divine, MD

NPI 1275276560 · on the registry since 2022

Practice

Address
751 W 9th St
Jasper, IN 47546
Phone
(812) 996-7474
Organisation at this address
Deaconess Clinic Inc
Deaconess Memorial Medical Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana