Dr KATHLEEN A DIVINCENZO MD is a female medical professional, specializing in Hospitalist. She graduated in 1987 from University Of Utah School Of Medicine.
WEST PARK HOSPITAL DISTRICT
707 SHERIDAN AVE
CODY
WY
824143409
Tel: 3075277501
| Npi | 1477596989 |
| Pac Id | 3375525835 |
| Professional Enrollment Id | I20050210000363 |
| Last Name | DIVINCENZO |
| First Name | KATHLEEN |
| Middle Name | A |
| Suffix | |
| Gender | F |
| Credential | MD |
| Medical School Name | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | HOSPITALIST |
| Secondary Specialty 1 | INTERNAL MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | INTERNAL MEDICINE |
| Organization Legal Name | WEST PARK HOSPITAL DISTRICT |
| Group Practice Pac Id | 7315855624 |
| Number Of Group Practice Members | 58 |
| Line 1 Street Address | 707 SHERIDAN AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | CODY |
| State | WY |
| Zip Code | 824143409 |
| Phone Number | 3075277501 |
| Hospital Affiliation Ccn 1 | 531312 |
| Hospital Affiliation Lbn 1 | WEST PARK HOSPITAL DISTRICT |
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| Professional Accepts Medicare Assignment | Y |
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