National Provider Identifier
Kimberly B Roach, R.N.
Kimberly B Roach, R.N. is listed in the NPPES registry with a primary specialty of Registered Nurse in Walworth, NY and a listed phone number of (315) 986-3521.
Profile Overview
- NPI
- 1558643775
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- September 14, 2011
- Last Updated
- September 14, 2011
Practice Location
- 1500 Dayspring Rdg
- Walworth, NY 14568-9517
Phone: (315) 986-3521
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1558643775
- Entity Type
- Individual
- Last Name
- Roach
- First Name
- Kimberly
- Middle Name
- B
- Name Prefix
- Mrs.
- Credential
- R.N.
- Mailing Street Address
- 1500 Dayspring Rdg
- Mailing City
- Walworth
- Mailing State
- NY
- Mailing ZIP Code
- 14568-9517
- Mailing Country
- US
- Mailing Phone
- (315) 986-3521
- Mailing Fax
- (315) 986-1716
- Practice Street Address
- 1500 Dayspring Rdg
- Practice City
- Walworth
- Practice State
- NY
- Practice ZIP Code
- 14568-9517
- Practice Country
- US
- Practice Phone
- (315) 986-3521
- Practice Fax
- (315) 986-1716
- Enumeration Date
- September 14, 2011
- Last Updated
- September 14, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)