MEDICARE: KIMBERLY ANN ROE H.A.D.

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	237700000X	Hearing Instrument Specialist	17001684A	IN

General Provider Information

NPI Number	:	1689526857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY ANN ROE H.A.D.

Provider Business Mailing Address
First Line	:	405 E HOFFER ST
Second Line	:
City	:	KOKOMO
State	:	IN
Zip	:	46902-2247
Country	:	US
Telephone Number	:	765-457-1553
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 E HOFFER ST
Second Line	:
City	:	KOKOMO
State	:	IN
Zip	:	46902-2247
Country	:	US
Telephone Number	:	765-457-1553
Fax Number	:

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

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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Directions to “ KIMBERLY ANN ROE H.A.D.” Practice Location

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