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

Kimberly Carol Vandalen

Individual provider Family Nurse Practitioner · NPI 1053784009

Kimberly Carol Vandalen is a Family Nurse Practitioner in Xenia, Ohio. Licensed in Ohio and Texas. Registered with an NPI since 2015.

Licensed in
OH, TX
In the registry since
2015
Specialties on file
5

Practice location Address checks out

193 S Progress Dr
Xenia, OH 45385-2673
Phone: (937) 372-7583
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.025839 (OH)
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X · Licence AP129610 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence AP129610 (TX)
General Practice Physician Taxonomy 208D00000X · Licence AP129610 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP129610 (TX)

Record details

NPI number1053784009
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 12, 2015
Last updated in NPPESOctober 22, 2020
Certification dateOctober 22, 2020

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