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NPI Code Detail

MEDICARE: KIMBERLY BLOCK

MEDICARE: KIMBERLY BLOCK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NursePN089555OH

General Provider Information

NPI Number : 1043141450
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY BLOCK
Provider Business Mailing Address
First Line : 1105 KESSLER COWLESVILLE RD
Second Line :
City : TROY
State : OH
Zip : 45373-9344
Country : US
Telephone Number : 937-451-9534
Fax Number :
Provider Business Practice Location Address
First Line : 500 N MARKET ST
Second Line :
City : TROY
State : OH
Zip : 45373-1418
Country : US
Telephone Number : 937-332-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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Directions to “ KIMBERLY BLOCK ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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