Individual provider · Type 1 NPI

Kacey Divincenzo, PA-C

Physician Assistant · Warren, OH

NPI number 1558082644 Active

Practice location

2473 North Rd NE
Warren, OH 44483-3054

Call (330) 372-2251 Map

Mailing address

517 Ophelia St
Newton Falls, OH 44444-1470

Other practice locations

  • 250 Debartolo Pl Ste B, Youngstown, OH 44512-7004 · (234) 683-1015

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X50.007802RX (OH)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

8 other providers at this address

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About NPI 1558082644

Kacey Divincenzo, PA-C's National Provider Identifier is 1558082644, issued on Sep 7, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Warren, OH. The record was last updated on Dec 30, 2025.