All Medicaid billing entities listing DIVINE, KYLIE (PROVIDER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Missouri | 1 | $140K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | DIVINE FAMILY EYE CARE, LLC | POPLAR BLUFF, MO | Optometrist | $140K |