| Kimberly Renk Pllc | |
|
511 N Ferncreek Ave Orlando FL 32803-5437 | |
| (407) 906-2280 | |
| Not Available |
| Full Name | Kimberly Renk Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 511 N Ferncreek Ave, Orlando, Florida |
| Authorized Official Name and Position | Kimberly Renk (PSYCHOLOGIST) |
| Authorized Official Contact | 4079062280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Renk Pllc 1883 Lakelet Loop Oviedo FL 32765-8010 Ph: () - | Kimberly Renk Pllc 511 N Ferncreek Ave Orlando FL 32803-5437 Ph: (407) 906-2280 |
| NPI Number | 1790237964 |
|---|---|
| Provider Enumeration Date | 11/03/2016 |
| Last Update Date | 11/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790237964 | NPI | - | NPPES |
| 1770708422 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY6771 (Florida) | Primary |
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