Provider Demographics
NPI:1265319578
Name:SCHENZ, KIMBERLEE RENEE (CPNP-PC)
Entity type:Individual
Prefix:
First Name:KIMBERLEE
Middle Name:RENEE
Last Name:SCHENZ
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:KIMBERLEE
Other - Middle Name:RENEE
Other - Last Name:RAMEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9614 204TH ST N
Mailing Address - Street 2:
Mailing Address - City:FOREST LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55025-9735
Mailing Address - Country:US
Mailing Address - Phone:651-600-2285
Mailing Address - Fax:
Practice Address - Street 1:6060 CLEARWATER DR STE 220
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55343-9468
Practice Address - Country:US
Practice Address - Phone:651-220-6624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN13256208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics