KALLYE JOANAH RENNER (NPI# 1093299299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093299299 |
| Entity Type | Individual |
| Full Name | KALLYE JOANAH RENNER |
| Credential | PHD |
| Practice Address |
7426 Us 42 Ste 106 Florence KY 41042-2056 |
| Practice Telephone | 8592820119 |
| Mailing Telephone | 8592820119 |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
265759 | KY | Behavioral Health & Social Service Providers |
| Street Address |
7426 US 42 STE 106 |
| City | FLORENCE |
| State | KY |
| Zip Code | 41042-2056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596010 | Stacey Deann Cruse | Counselor | 71 Cavalier Blvd #303, Florance, KY 41042 | 2020-07-23 |
| 1760044705 | Loretta Macaluso | Speech-Language Pathologist | 1515 Cavalry Drive, Suite 202, Florence, KY 41042 | 2019-06-29 |
| 1659879559 | Christina Shrader | Counselor | 71 Cavalier Blvd Ste 113, Florence, KY 41042 | 2018-01-25 |
| 1891200267 | Rachel Knuehl | Case Manager/Care Coordinator | 8140 Dream Street, Florence, KY 41042 | 2017-12-07 |
| 1427560697 | Marie Nicole Sartori | Nurse Practitioner | 7766 Ewing Blvd Ste 100, Florence, KY 41042 | 2017-10-27 |
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| 1306394937 | Mary Austin | Nurse Practitioner | 7766 Ewing Boulevard, Florence, KY 41042 | 2016-09-12 |
| 1598211633 | Samantha Growe | Counselor | 7000 Houston Rd Ste 16, Florence, KY 41042 | 2016-08-29 |
| 1982079299 | Jessica Adelyn Goodridge | Doula | 2224 Forest Lawn Dr., Florence, KY 41042 | 2015-12-11 |
| 1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
| Find all providers in zip 41042 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235263 | Lorraine Mangione | Psychologist | 21 W Parsons Ln, Florence, MA 01062-3668 | 2018-05-15 |
| 1548757412 | Kathleen E Schroeder | Psychologist | 4374 E Butte Ave., Florence, AZ 85132-8513 | 2018-04-17 |
| 1275849614 | David Alexander Reince | Psychologist | 466 W Cheves St, Florence, SC 29501-4436 | 2010-08-24 |
| 1184938524 | Nicole Taylor | Psychologist | 321 N. Bailey Street, #d, Florence, AZ 85132 | 2010-07-27 |
| 1508192378 | William Glenn Clingempeel | Psychologist | 1505-b Heritage Lane, Florence, SC 29505 | 2009-10-28 |
| 1457580896 | Andrea Lea Pritchard-boone | Psychologist | 314 S Mcqueen St, Florence, SC 29501-4723 | 2009-07-07 |
| 1851547335 | Alexis Sanders | Psychologist | 1516 S Langley Dr, Florence, SC 29501-6149 | 2008-08-15 |
| 1104088038 | Good Shepherd Institute, Inc. | Psychologist | 7103 Turfway Rd, Suite 101, Florence, KY 41042-2094 | 2008-07-01 |
| 1750550992 | Ronald Murphy | Psychologist | 1112 Gregg Ave, Florence, SC 29501-4327 | 2008-02-21 |
| 1467678672 | Edward L Scearce | Psychologist | 1340 Celebration Blvd, Unit C, Florence, SC 29501-5585 | 2007-04-17 |
| Find all providers in FLORENCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.