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NPI Code Detail

MEDICARE: KYLEE RENEE JEREMIAH

MEDICARE: KYLEE RENEE JEREMIAH
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1891652731
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLEE RENEE JEREMIAH
Provider Business Mailing Address
First Line : 2105 EBENEZER RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45233-1750
Country : US
Telephone Number : 513-507-7404
Fax Number :
Provider Business Practice Location Address
First Line : 780 ROSE STREET
Second Line :
City : LEXINGTON
State : KY
Zip : 40536-0001
Country : US
Telephone Number : 859-323-6161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2026
Last Update Date : 01/05/2026

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Directions to “ KYLEE RENEE JEREMIAH ” Practice Location

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