| Doctor Name: | MISS KIMBERLY A KLEAVELAND |
| NPI Number: | 1043569437 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | CNP121072 |
| Business Practice Address: | 5 Bucknam Rd Suite 2b Falmouth, ME - 041051392 |
| Business Phone Number: | 2077811600 |
| Business Fax Number: | 2077811609 |
| Mailing Address: | 301c Us Route 1, SCARBOROUGH |
| State: | ME |
| Postal Code: | 040749701 |
| Phone Number: | 2073968600 |
| Fax Number: | 2073968632 |
| NPI Enumeration Date: | 08/31/2012 |
| NPI Last Update Date: | 11/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | CNP121072 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |