MEDICARE: KIMBERLY ANN BELL MSN, RN, NP-C

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
1	363LF0000X	Family Nurse Practitioner	RN217101 APRN020535	OH
2	363LF0000X	Family Nurse Practitioner	APRN.CNP.020535	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659810737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY ANN BELL MSN, RN, NP-C

Provider Business Mailing Address
First Line	:	4790 COTTONVILLE RD
Second Line	:
City	:	JAMESTOWN
State	:	OH
Zip	:	45335-1518
Country	:	US
Telephone Number	:	937-675-2870
Fax Number	:	937-675-2873

Provider Business Practice Location Address
First Line	:	1157 N MONROE DR STE 220
Second Line	:
City	:	XENIA
State	:	OH
Zip	:	45385-1699
Country	:	US
Telephone Number	:	937-374-3484
Fax Number	:	937-374-7484

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2017
Last Update Date	:	01/28/2021

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