Provider Demographics
NPI:1386778629
Name:KLEINERT, KATHLEEN A (ARNP)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:A
Last Name:KLEINERT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6370 SW 114TH ST
Mailing Address - Street 2:
Mailing Address - City:PINECREST
Mailing Address - State:FL
Mailing Address - Zip Code:33156-4867
Mailing Address - Country:US
Mailing Address - Phone:305-661-5508
Mailing Address - Fax:
Practice Address - Street 1:FLORIDA INTERNATIONAL UNIVERSITY HEALTH SERVICES
Practice Address - Street 2:UHSC 154
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33199-0001
Practice Address - Country:US
Practice Address - Phone:305-348-5962
Practice Address - Fax:305-348-7579
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1043872363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health