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Alexandra Divine

NPI 1922774090 · on the registry since 2021 · sole proprietor

Practice

Address
214 Ferrel St
Platte City, MO 64079
Phone
(816) 469-5162
Clinicians at this address
119

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
106E00000X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-24

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 Missouri