Individual provider · Type 1 NPI
Kimbra Lee Moore
Gerontology Nurse Practitioner · Lima, OH
NPI number
1992212211
Active
Practice location
128 S Westwood Dr
Lima, OH 45805-2634
Fax (419) 302-1481
Other practice locations
- 1010 Lincoln Hwy, Wapakoneta, OH 45895-9347 · (731) 394-1145
- 1350 N Broadway St, Greenville, OH 45331-2461 · (800) 417-7535
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | APRN.CNP.020726 (OH) |
| Nurse Practitioner | 363L00000X | APRN.CNP.020726 (OH) |
Gerontology Nurse Practitioner: Definition to come...
Other gerontology nurse practitioner providers in Lima
About NPI 1992212211
Kimbra Lee Moore's National Provider Identifier is 1992212211, issued on Jan 8, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Lima, OH. The record was last updated on Sep 29, 2026.