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

Pamela Brock, APRN

Individual provider Nurse Practitioner · NPI 1205235140

Pamela Brock, APRN is a Nurse Practitioner in Crestview Hills, Kentucky. Qualified in 2014, 12 years ago. Practices with Kidney Disease Consultants, a 3-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
12
Licensed in
KY
In the registry since
2014
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

651 Centre View Blvd
Crestview Hills, KY 41017-5423
Phone: (859) 301-9140
Fax: (859) 341-9141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 Medical Village Dr, Edgewood, KY 41017-3403 — (859) 212-4668
  • 47 Cavalier Blvd, Florence, KY 41042-3969 — (859) 757-4353

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3008866 (KY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3008866 (KY)

Record details

NPI number1205235140
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedAugust 16, 2014
Last updated in NPPESJanuary 29, 2020
Certification dateJanuary 29, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Kidney Disease Consultants — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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