Individual
KATHLEEN CLEVENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7459 BURLINGTON PIKE, FLORENCE, KY 41042-1553
(859) 578-3200
Mailing address
503 FARRELL DR, COVINGTON, KY 41011-3775
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3016640
KY
Other
Enumeration date
07/20/2016
Last updated
11/16/2021
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