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Kimberly Roach
Licensed Practical Nurse in Fort Leonard Wood, Missouri
NPI 1578863544

Kimberly Roach is a Licensed Practical Nurse based in Fort Leonard Wood, MO. Kimberly Roach practices in Fort Leonard Wood, MO. The NPI Number for Kimberly Roach is 1578863544 and holds a License No. 041994 (Missouri).

The current practice location address for Kimberly Roach is 126 Missouri Ave, Fort Leonard Wood, MO and can be reached out via phone at 573-596-1765 and via fax at 573-596-4900.

Location: 126 Missouri Ave, Fort Leonard Wood, MO, 65473-8952
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578863544
Provider Name
Kimberly Roach
Credential
Provider Entity Type
Individual
Gender
Female
Address
126 Missouri Ave, Fort Leonard Wood, MO, 65473-8952
Phone Number
573-596-1765
Fax Number
573-596-4900
Provider Enumeration Date
10/25/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
126 Missouri Ave
City
Fort Leonard Wood
State
Missouri
Zip
65473-8952
Phone Number
573-596-1765
Fax Number
573-596-4900
person
Provider Business Mailing Address Details
Address
126 Missouri Ave
City
Fort Leonard Wood
State
Missouri
Zip
65473-8952
Phone Number
573-596-1765
Fax Number
573-596-4900
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
041994 (Missouri)
Definition
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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