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Contact Information

KATHLEEN A DIVINCENZO, MD
707 SHERIDAN AVE
CODY, WY82414
 Phone: 307-578-2480
 Fax: 307-578-2492
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KATHLEEN A DIVINCENZO · (Female)

NPI Number 1477596989
Status Active
Credentials MD
Entity Individual
Enumeration date 06/13/2006
Last updated 10/05/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WY License # 4494A
Hospital affiliation(s)
  • WEST PARK HOSPITAL DISTRICT - (Critical Access)
    707 SHERIDAN AVENUE
    CODY, WY 82414
  • WYOMING MEDICAL CENTER - (Acute Care)
    1233 EAST 2ND ST
    CASPER, WY 82601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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