Individual
DR. KATHLEEN KLEEFISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
492S BIERMA ST, WHEATFIELD, IN 46392-6004
(219) 956-2110
(219) 956-3548
Mailing address
1104 E GRACE STREET, RENSSELAER, IN 47978-3296
(219) 866-5141
(219) 866-3234
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003564A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201303480
—
IN
Enumeration date
11/11/2011
Last updated
09/23/2015
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