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

Kathy A Divine

Individual provider Registered Nurse · NPI 1730622705

Kathy A Divine is a Registered Nurse in Springfield, Missouri. Licensed in Missouri. Registered with an NPI since 2016.

Licensed in
MO
In the registry since
2016
Specialties on file
2

Practice location Address checks out

1235 E Cherokee St
Springfield, MO 65804-2203
Phone: (417) 820-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2017003053 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 079888 (MO)

Record details

NPI number1730622705
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 23, 2016
Last updated in NPPESFebruary 3, 2017
Mailing addressPo Box 505164, Saint Louis, MO 63150-5164

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