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General NPI Number Information
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NPI Number | 1790130797
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Entity Type | Individual
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Provider Name | KATHLEEN ELYSE REINEMEYER APRN
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Gender | Female
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Dates
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Enumeration Date | 04/27/2016
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 1094 N MAIN ST
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City | BOWLING GREEN
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State | OH
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Zip | 43402-1346
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Country | US
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Telephone | 419-373-6687
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Fax | 419-383-6688
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Provider Business Mailing Address
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Address Line | 1014 VINE ST FL 21
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City | CINCINNATI
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State | OH
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Zip | 45202-1141
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Country | US
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Telephone | 888-852-2567
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704303252
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN.390686-
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.19238
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License Number State | OH
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