Miss Kathleen R Renner, APRN - Plastic Surgery in Jacksonville, FL

Miss Kathleen R Renner, APRN is a Plastic Surgery physician based in Jacksonville, Florida. Miss Kathleen R Renner is licensed to practice in Florida (license number APRN11008064) and her current practice location is 4147 Southpoint Dr East, Optional, Jacksonville, Florida. She can be reached at her office (for appointments etc.) via phone at (904) 332-6774.

NPI number for Miss Kathleen R Renner is 1558955849 and her current mailing address is 4147 Southpoint Dr East, Optional, Jacksonville, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558955849.

Contact Information

Miss Kathleen R Renner, APRN
4147 Southpoint Dr East, Optional,
Jacksonville, FL 32216-3221
(904) 332-6774
(904) 661-0028



Physician's Profile

Full NameMiss Kathleen R Renner
GenderFemale
SpecialityPlastic Surgery
Location4147 Southpoint Dr East, Jacksonville, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1558955849
  • Provider Enumeration Date: 02/26/2021
  • Last Update Date: 02/26/2021

Medical Identifiers

Medical identifiers for Miss Kathleen R Renner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558955849NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery APRN11008064 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Kathleen R Renner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miss Kathleen R Renner, APRN
4147 Southpoint Dr East, Optional,
Jacksonville, FL 32216

Ph: (904) 332-6774
Miss Kathleen R Renner, APRN
4147 Southpoint Dr East, Optional,
Jacksonville, FL 32216-3221

Ph: (904) 332-6774

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Plastic Surgery Doctors in Jacksonville, FL

John Murray, M.D.
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4555 Emerson St, Suite 230, Jacksonville, FL 32207
Phone: 904-633-0130    Fax: 904-633-0131
Sarvam Terkonda, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Mohamad Reza Samiian, MD PA
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 4221 Southpoint Pkwy, Jacksonville, FL 32216
Phone: 904-296-2810    Fax: 904-296-3424
David Colton Riley, MD
Plastic Surgery
Medicare: Medicare Enrolled
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Peter Matthew Granger,
Plastic Surgery
Medicare: Medicare Enrolled
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
James Waldorf, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    

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