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NPI Code Detail

MEDICARE: CARLEE MARIE CLEMONS DO

MEDICARE: CARLEE MARIE CLEMONS DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician34.018257OH

General Provider Information

NPI Number : 1578203683
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLEE MARIE CLEMONS DO
Provider Business Mailing Address
First Line : 10475 READING RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45241-2563
Country : US
Telephone Number : 513-563-2202
Fax Number :
Provider Business Practice Location Address
First Line : 10475 READING RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45241-2563
Country : US
Telephone Number : 513-563-2202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2022
Last Update Date : 05/08/2026

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