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General NPI Number Information
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NPI Number | 1770681785
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Entity Type | Individual
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Provider Name | KIMBERLY M DEVORE DO
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Gender | Female
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 1313 N MAIN ST
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City | BEAVER DAM
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State | KY
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Zip | 42320-8957
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Country | US
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Telephone | 270-274-9928
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Fax | 270-298-9506
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Provider Business Mailing Address
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Address Line | 1211 OLD MAIN ST
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City | HARTFORD
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State | KY
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Zip | 42347-1619
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Country | US
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Telephone | 270-274-9928
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | DOS919
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | DR0064582
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 20708
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License Number State | NH
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 06086
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License Number State | KY
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