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Kimberly Carol Vandalen
Family Nurse Practitioner in Xenia, Ohio
NPI 1053784009

Kimberly Carol Vandalen is a Family Nurse Practitioner based in Xenia, OH and is specialized in Family. Kimberly Carol Vandalen practices in Xenia, OH. The NPI Number for Kimberly Carol Vandalen is 1053784009 and holds a License No. APRN.CNP.025839 (Ohio).

The current practice location address for Kimberly Carol Vandalen is 193 S Progress Dr, Xenia, OH and can be reached out via phone at 937-372-7583.

Location: 193 S Progress Dr, Xenia, OH, 45385-2673
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053784009
Provider Name
Kimberly Carol Vandalen
Credential
Provider Entity Type
Individual
Gender
Female
Address
193 S Progress Dr, Xenia, OH, 45385-2673
Phone Number
937-372-7583
Fax Number
Provider Enumeration Date
11/12/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0389946 05 OH
083850001 05 TX
017801401 05 TX
063389301 05 TX
87V600 01 TX BCBS
87V601 01 TX BCBS
AP129610 01 TX TEXAS STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
193 S Progress Dr
City
Xenia
State
Ohio
Zip
45385-2673
Phone Number
937-372-7583
Fax Number
person
Provider Business Mailing Address Details
Address
193 S Progress Dr
City
Xenia
State
Ohio
Zip
45385-2673
Phone Number
937-372-7583
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
AP129610 (Texas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Public Health & General Preventive Medicine
Taxonomy
2083P0901X
License No.
AP129610 (Texas)
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
AP129610 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APRN.CNP.025839 (Ohio)
Definition
Definition to come...
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