| Doctor Name: | DR. KATHLEEN KLEEFISCH |
| NPI Number: | 1801173349 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DNP, FNP-BC |
| License Number: | 71003564A |
| Business Practice Address: | 492s Bierma St Wheatfield, IN - 463926004 |
| Business Phone Number: | 2199562110 |
| Business Fax Number: | 2199563548 |
| Mailing Address: | 1104 E Grace Street, RENSSELAER |
| State: | IN |
| Postal Code: | 479783296 |
| Phone Number: | 2198665141 |
| Fax Number: | 2198663234 |
| NPI Enumeration Date: | 11/11/2011 |
| NPI Last Update Date: | 09/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 71003564A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |