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

Kimberlee R Roche, PA-C

Individual provider Physician Assistant · NPI 1407140775

Kimberlee R Roche, PA-C is a Physician Assistant in Greensboro, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2011
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1200 N Elm St
Greensboro, NC 27401-1004
Phone: (336) 832-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 14585 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 0010-02916 (NC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 0010-02916 (NC)

Record details

NPI number1407140775
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 4, 2011
Last updated in NPPESOctober 25, 2017

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