Basic Information
Provider Information
NPI: 1013235316
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KLEE
FirstName: RENEE
MiddleName: LOUISE
NamePrefix:  
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11595 N MERIDIAN ST STE 375
Address2:  
City: CARMEL
State: IN
PostalCode: 460323950
CountryCode: US
TelephoneNumber: 3175757304
FaxNumber: 3175757333
Practice Location
Address1: 7495 STATE RD
Address2: SUITE 300
City: CINCINNATI
State: OH
PostalCode: 452552498
CountryCode: US
TelephoneNumber: 5132313447
FaxNumber: 5132313761
Other Information
ProviderEnumerationDate: 05/11/2010
LastUpdateDate: 08/23/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/23/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X11439OHY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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