Healthcare Provider Details

I. General information

NPI: 1811718364
Provider Name (Legal Business Name): KIMBERLY D INMAN APRN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2024
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2510 COMMONS BLVD STE 110
BEAVERCREEK OH
45431-3821
US

IV. Provider business mailing address

1 PRESTIGE PL STE 550
MIAMISBURG OH
45342-6115
US

V. Phone/Fax

Practice location:
  • Phone: 937-490-0123
  • Fax: 937-522-8086
Mailing address:
  • Phone: 937-762-1306
  • Fax: 937-522-7017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0037584
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: