| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KATHLEEN CLEVENGER | 1043663545 | 2021-11-16 |
Kathleen Clevenger is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1043663545. Registration indicates Kathleen Clevenger is a provider of access to mental health/behavioral health providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Kathleen Clevenger |
| Practice Office Address | 7459 BURLINGTON PIKE FLORENCE, KY US |
| Practice Office Telephone | 8595783200 |
| Mailing Address | 503 FARRELL DR COVINGTON, KY 410113775 US |
| Code | Practice | License No State |
|---|---|---|
| 363LP0808X PRIMARY | Access to Mental Health/Behavioral Health Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Psych/Mental Health All Other Specialties & Provider Types Nurse Practitioner Psych/Mental Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 3016640
KY |