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

Kathleen Clevenger

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1043663545

Kathleen Clevenger is a Nurse Practitioner in Florence, Kentucky. Qualified in 2021, 5 years ago. Practices as a sole proprietor and offers telehealth. Licensed in Kentucky.

Years since qualifying
5
Licensed in
KY
In the registry since
2016

Practice location Address checks out

7459 Burlington Pike
Florence, KY 41042-1553
Phone: (859) 578-3200
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 3016640 (KY)

Record details

NPI number1043663545
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 20, 2016
Last updated in NPPESNovember 16, 2021
Certification dateNovember 16, 2021
Mailing address503 Farrell Dr, Covington, KY 41011-3775

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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