Divinnie, Kaitlin

Divinnie, Kaitlin is an individual health care provider with primary practice located at 1365 Clifton Rd Ne Bldg B , Atlanta GA 30322-3736. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Divinnie, Kaitlin can be contacted via phone (404) 778-3184.

Contact Information

Primary practice address
1365 Clifton Rd Ne Bldg B Atlanta GA 30322-3736
Phone: (404) 778-3184
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN224677 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X RN224677 Georgia

Profile Details

NPI number 1174997647
LBN Legal business name Divinnie, Kaitlin
Credentials AGPCNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2015
Last updated Jul 21st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174997647 NPPES
Georgia MEDICAID 1174997647

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