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JOHNNY LEO DIVINE
NPI 1275092991
Durable Medical Equipment & Medical Supplies - Customized Equipment in Golden City, MO

Active since March 13, 2019
507 MAIN STREET, GOLDEN CITY, MO 64748(417) 262-2524 Get Directions Write a Review

NPPES record last updated: March 13, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Johnny Leo Divine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNNY LEO DIVINE (NPI 1275092991) is an individual customized equipment provider in Golden City, Missouri and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1275092991
Entity TypeIndividualMale
Primary Taxonomy332BC3200X
Provider Legal NameJOHNNY LEO DIVINE
Location Address507 MAIN STREETGolden City, MO 64748
Mailing AddressPo Box 41Golden City, MO 64748 · (417) 262-2524
Phone(417) 262-2524
Sole ProprietorYes
Enumeration DateMarch 13, 2019
✔ NPI 1275092991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
507 MAIN STREET, Golden City, MO 64748
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnny Divine's NPI number?

The NPI number for Johnny Divine is 1275092991. It was assigned to this individual provider in the NPPES registry on March 13, 2019.

Where is Johnny Divine located?

Johnny Divine practices at 507 Main Street, Golden City, MO 64748. The listed phone number is (417) 262-2524.

What is Johnny Divine's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Johnny Divine was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.