Individual provider · Type 1 NPI

Kimberly Roach

Licensed Practical Nurse · Fort Leonard Wood, MO

NPI number 1578863544 Active

Practice location

126 Missouri Ave
Fort Leonard Wood, MO 65473-8952

Call (573) 596-1765 Map

Fax (573) 596-4900

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X041994 (MO)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1578863544

Kimberly Roach's National Provider Identifier is 1578863544, issued on Oct 25, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Leonard Wood, MO. The record was last updated on Dec 1, 2010.