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Individual

KIMBERLY M RENNIE

Active
Find providers by NPI
Individual

KIMBERLY M RENNIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2478-57
WI
103G00000X
Clinical Neuropsychologist
Primary
36245
TX
103TC2200X
Clinical Child & Adolescent Psychologist
2478
WI
103TH0004X
Health Psychologist
2478-57
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007906261U
HUMANA
05
39143300
WI
Enumeration date
05/22/2006
Last updated
03/17/2018
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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