Divine, Kenedi Ellen Elizabeth

Divine, Kenedi Ellen Elizabeth is an individual health care provider with primary practice located at 996 Bartley Street , Jasper IN 47553. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Divine, Kenedi Ellen Elizabeth can be contacted via phone (812) 996-7810.

Contact Information

Primary practice address
996 Bartley Street Jasper IN 47553
Phone: (812) 996-7810
Fax: (812) 996-8465
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1275276560
LBN Legal business name Divine, Kenedi Ellen Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2022
Last updated Apr 15th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers