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

Kimbra Lee Moore

Individual provider Gerontology Nurse Practitioner · NPI 1992212211

Kimbra Lee Moore is a Nurse Practitioner in Lima, Ohio. Qualified in 2016, 10 years ago. Practices with Hospice of Darke County, Inc, a 5-clinician group and works from 2 locations. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2018
Specialties on file
2

Practice location Address checks out

128 S Westwood Dr
Lima, OH 45805-2634
Phone: (419) 231-5351
Fax: (419) 302-1481
Show map & directions

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

Additional practice locations (1)

  • 1350 N Broadway St, Greenville, OH 45331-2461 — (800) 417-7535

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APRN.CNP.020726 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN.CNP.020726 (OH)

Record details

NPI number1992212211
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 8, 2018
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025
Mailing address128 S Westwood Dr, Lima, OH 45805-2634

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Hospice Of Darke County, Inc. — 5 clinicians
Accepts Medicare assignment Not indicated

Other providers in Lima