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

Kenedi Ellen Elizabeth Divine, MD

Individual provider Family Medicine Physician · NPI 1275276560

Kenedi Ellen Elizabeth Divine, MD is a Family Practice in Jasper, Indiana. Graduated from Indiana University School of Medicine in 2022, 4 years ago. Practices with Deaconess Clinic Inc, a 409-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
4
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2022
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

751 W 9th St
Jasper, IN 47546-2609
Phone: (812) 996-7474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01096665A (IN)

Record details

NPI number1275276560
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2022
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Deaconess Clinic Inc — 409 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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