Healthcare Provider Details

I. General information

NPI: 1164454856
Provider Name (Legal Business Name): KARLA KLEEMAN HUEY R.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KARLA RENEE KLEEMAN R.D.

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 VINE ST NUTRITION & FOOD SERVICE, 120
CINCINNATI OH
45220-2213
US

IV. Provider business mailing address

205 SERGEANT AVE
FORT THOMAS KY
41075-2327
US

V. Phone/Fax

Practice location:
  • Phone: 513-861-3100
  • Fax:
Mailing address:
  • Phone: 859-441-9127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1295
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: