Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kallye Joanah Renner, PHD

Individual provider Clinical Psychologist · NPI 1093299299

Kallye Joanah Renner, PHD is a Clinical Psychologist in Florence, Kentucky. Qualified in 2018, 8 years ago. Practices with Counseling and Diagnostic Center LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
8
Licensed in
KY
In the registry since
2018
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

7426 US 42 Ste 106
Florence, KY 41042-2056
Phone: (859) 282-0119
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 265759 (KY)

Record details

NPI number1093299299
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 24, 2018
Last updated in NPPESNovember 11, 2021
Certification dateNovember 11, 2021
Mailing address7426 Us 42 Ste 106, Florence, KY 41042-2056

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Counseling And Diagnostic Center Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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