Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kim M Moreau

Individual provider Licensed Practical Nurse · NPI 1053905646

Kim M Moreau is a Licensed Practical Nurse in Bronx, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

1326 Elder Ave
Bronx, NY 10472-1502
Phone: (718) 791-6051
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 28120301 (NY)

Record details

NPI number1053905646
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 24, 2021
Last updated in NPPESFebruary 24, 2021
Certification dateFebruary 24, 2021

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