Kimberly Renk PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY6771 Issued in FL

Legal business name

KIMBERLY RENK PLLC

Practice address

511 N Ferncreek Ave
Orlando, FL 32803-5437

Phone

(407) 906-2280

NPI assigned

Nov 3, 2016

Last updated

Nov 3, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Renk, PH.D.

Title

Psychologist

Phone

(407) 906-2280

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1790237964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1883 LAKELET LOOP",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N FERNCREEK AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035437",
            "telephone_number": "407-906-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY RENK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "RENK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "407-906-2280",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1770708422",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Kim
• Soyeon Kim
• Wang Hee Kim
• Yong Han Kim, M.D.
• Kimberly Carlyle-Clark, DDS, Ms, PA (Carlyle Orthodontics)
• Allen Y Kimble III, PTA
• Altermease S. Kimble
• Cheryl Ann Kimble
• Tamarin Kimble
• Trinity Kimble, M.S.

• Psychologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.