Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENEDI ELLEN ELIZABETH DIVINE, MD
ActiveKENEDI ELLEN ELIZABETH DIVINE, MD is a Family Medicine healthcare provider located in JASPER, Indiana. NPI 1275276560 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · JASPER, IN
Registration Details
- NPI Number
- 1275276560
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 15, 2022 (4.3261161272697 yrs)
- Last Updated
- Jul 10, 2025
- License
-
01096665A (IN)
Practice Information
- Address
-
751 W 9TH STJASPER, IN, 475462609Browse IN providers · Browse ZIP 47546
- Phone
- 8129967474
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in JASPER, IN
| Name | Credential | NPI |
|---|---|---|
| DR. GREGORY T PFISTER | M.D. | 1639176563 |
| DAVID N BELL | M.D. | 1457321762 |
| DR. ANN B PATTERSON | M.D. | 1356310627 |
| DR. JENNIFER LYNN RICHARDSON | M.D. | 1740374826 |
| DENNIS M DUNSMORE | M.D. | 1649365784 |
| DR. CARLOS RAFAEL GARRIDO | M.D. | 1609133255 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.