1. Home
  2. Directory
  3. Missouri
  4. Fort Leonard Wood
  5. Licensed Practical Nurse
  6. NPI Profile

KIMBERLY ROACH
NPI 1578863544
Licensed Practical Nurse in Fort Leonard Wood, MO

Active since October 25, 2010
126 MISSOURI AVE, FORT LEONARD WOOD, MO 65473(573) 596-1765(573) 596-4900 Get Directions Write a Review

NPPES record last updated: December 1, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly Roach NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY ROACH (NPI 1578863544) is an individual licensed practical nurse in Fort Leonard Wood, Missouri, licensed in Missouri (041994) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1578863544
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKIMBERLY ROACH
Location Address126 MISSOURI AVEFort Leonard Wood, MO 65473-8952
Mailing Address126 Missouri AveFort Leonard Wood, MO 65473-8952 · (573) 596-1765 · Fax (573) 596-4900
Phone(573) 596-1765
Fax(573) 596-4900
Sole ProprietorNo
Enumeration DateOctober 25, 2010
Last NPPES UpdateDecember 1, 2010
✔ NPI 1578863544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MO · 041994
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
126 MISSOURI AVE, Fort Leonard Wood, MO 65473
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRENDAN DAUGHARTY GRIFFIS DO
Anesthesiology
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0471
VICTORIA ANNE GRUBE
Specialist/Technologist, Pathology (Immunology)
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-1682
SHANNON RAE MATHERLY CRT
Respiratory Therapist, Certified
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0131
NICHOLAS DOBBS
Physical Therapy Assistant
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-1707
MRS. SHAUNIA ROBERTS LPN
Licensed Practical Nurse
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-1766
DEBBIE JEAN ROBERTS
Specialist/Technologist (Audiology Assistant)
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0131
MRS. KATHY LYNN MULLIHAN
Registered Nurse (Emergency)
126 MISSOURI AVE
FT. LEONARD WOOD, MO 65473
Pulaski County (573) 596-0456
RICKEY RODGER MARTIN PA
Physician Assistant (Medical)
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0417

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Roach's NPI number?

The NPI number for Kimberly Roach is 1578863544. It was assigned to this individual provider in the NPPES registry on October 25, 2010.

Where is Kimberly Roach located?

Kimberly Roach practices at 126 Missouri Ave, Fort Leonard Wood, MO 65473. The listed phone number is (573) 596-1765.

What is Kimberly Roach's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Roach was last updated on December 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.