Healthcare Provider Details

I. General information

NPI: 1265319578
Provider Name (Legal Business Name): KIMBERLEE RENEE SCHENZ CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIMBERLEE RENEE RAMEY

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6060 CLEARWATER DR STE 220
MINNETONKA MN
55343-9468
US

IV. Provider business mailing address

9614 204TH ST N
FOREST LAKE MN
55025-9735
US

V. Phone/Fax

Practice location:
  • Phone: 651-220-6624
  • Fax:
Mailing address:
  • Phone: 651-600-2285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number13256
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: