Individual
KIMBRA LEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 S WESTWOOD DR, LIMA, OH 45805-2634
(419) 231-5351
(419) 302-1481
Mailing address
128 S WESTWOOD DR, LIMA, OH 45805-2634
(419) 231-5351
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.020726
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.020726
OH
Other
Enumeration date
01/08/2018
Last updated
08/21/2025
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