Kimberly Roach, - Licensed Practical Nurse in Fort Leonard Wood, MO

Kimberly Roach, is a Licensed Practical Nurse based in Fort Leonard Wood, Missouri. Kimberly Roach is licensed to practice in Missouri (license number 041994) and her current practice location is 126 Missouri Ave, Fort Leonard Wood, Missouri. She can be reached at her office (for appointments etc.) via phone at (573) 596-1765.

NPI number for Kimberly Roach is 1578863544 and her current mailing address is 126 Missouri Ave, Fort Leonard Wood, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578863544.

Contact Information

Kimberly Roach,
126 Missouri Ave,
Fort Leonard Wood, MO 65473-8952
(573) 596-1765
(573) 596-4900



Provider's Profile

Full NameKimberly Roach
GenderFemale
SpecialityLicensed Practical Nurse
Location126 Missouri Ave, Fort Leonard Wood, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1578863544
  • Provider Enumeration Date: 10/25/2010
  • Last Update Date: 12/01/2010

Medical Identifiers

Medical identifiers for Kimberly Roach such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578863544NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 041994 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Roach is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberly Roach,
126 Missouri Ave,
Fort Leonard Wood, MO 65473-8952

Ph: (573) 596-1765
Kimberly Roach,
126 Missouri Ave,
Fort Leonard Wood, MO 65473-8952

Ph: (573) 596-1765

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› Verified 9 days ago


Licensed Practical Nurse Nurses in Fort Leonard Wood, MO

Mrs. Shaunia Roberts, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-1766    
Alma Delia Short,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4430 Missouri Ave # 1267, Fort Leonard Wood, MO 65473
Phone: 573-596-9143    
Leaann Weddle, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-1600    Fax: 573-596-0555
Jane Evans,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-1765    Fax: 573-596-4900
Mrs. Melody Graves,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-1765    Fax: 573-596-4900
Shannon Starnes,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-1765    Fax: 573-596-4900
Mrs. Judy Kay Gray, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 210 Missouri Ave, Ctmc, Fort Leonard Wood, MO 65573
Phone: 573-596-1680    

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