Individual
KALLYE JOANAH RENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7426 US 42 STE 106, FLORENCE, KY 41042-2056
(859) 282-0119
Mailing address
7426 US 42 STE 106, FLORENCE, KY 41042-2056
(859) 282-0119
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
265759
KY
Other
Enumeration date
09/24/2018
Last updated
11/11/2021
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