Individual
MS. KIMBERLY S NEACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN MSN CNP
Contact information
Practice address
11117 BEECH ST, BROOKVILLE, IN 47012-5154
(937) 603-4507
Mailing address
11117 BEECH ST, BROOKVILLE, IN 47012-5154
(937) 603-4507
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
71005101A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
COA04947
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2197359
—
OH
01
—
9386101
MEDICARE
OH
Enumeration date
01/04/2007
Last updated
04/23/2026
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