| Kimberly Carol Vandalen, | |
|
193 S Progress Dr, Xenia, OH 45385-2673 | |
| (937) 372-7583 | |
| Not Available |
| Full Name | Kimberly Carol Vandalen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 193 S Progress Dr, Xenia, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053784009 | NPI | - | NPPES |
| 0389946 | Medicaid | OH | |
| 083850001 | Medicaid | TX | |
| 017801401 | Medicaid | TX | |
| 063389301 | Medicaid | TX | |
| 87V600 | Other | TX | BCBS |
| 87V601 | Other | TX | BCBS |
| AP129610 | Other | TX | TEXAS STATE LICENSE |
| Entity Name | Mvhe Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659504785 PECOS PAC ID: 9537066584 Enrollment ID: O20031217000553 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Carol Vandalen, 193 S Progress Dr, Xenia, OH 45385-2673 Ph: (937) 372-7583 | Kimberly Carol Vandalen, 193 S Progress Dr, Xenia, OH 45385-2673 Ph: (937) 372-7583 |
Anne Bohardt, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-376-8700 Fax: 937-376-8725 | |
Emily Joanne Cooper, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 N Progress Dr, Xenia, OH 45385 Phone: 937-562-2280 Fax: 937-562-2282 | |
Jessica Darnell, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 193 S Progress Dr, Xenia, OH 45385 Phone: 937-372-7583 | |
Mrs. Jennifer Reid Reichert, APRN-PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 53 W Main St, Xenia, OH 45385 Phone: 937-848-1563 | |
Dina Maria Thurman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Buckskin Trl, Xenia, OH 45385 Phone: 937-641-4623 Fax: 937-641-6138 | |
Cynthia Mcmaken, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 360 Wilson Dr, Xenia, OH 45385 Phone: 937-708-3400 Fax: 937-708-3430 |