Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathleen Ann Divincenzo, MD

Individual provider Internal Medicine Physician · NPI 1477596989

Kathleen Ann Divincenzo, MD is an Internal Medicine Physician in Cody, Wyoming. Licensed in Wyoming. Registered with an NPI since 2006.

Licensed in
WY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

707 Sheridan Ave
Cody, WY 82414
Phone: (307) 578-2480
Fax: (307) 578-2492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4494A (WY)

Record details

NPI number1477596989
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2006
Last updated in NPPESOctober 5, 2020
Certification dateOctober 5, 2020

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