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Kimberly Carol Vandalen

Family Nurse Practitioner in Xenia, OH · enumerated 2015.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053784009

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Registry record

Entity type Individual (Type 1)
Name Kimberly Carol Vandalen
Sex Female
Practice address 193 S Progress Dr, Xenia, OH, 45385
Phone (937) 372-7583
Enumeration date Nov 12, 2015
Last updated in NPPES Oct 22, 2020

Taxonomy & licenses

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License APRN.CNP.025839 (OH) Primary
2083P0901X Public Health & General Preventive Medicine Physician Allopathic & Osteopathic Physicians · License AP129610 (TX) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License AP129610 (TX) Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License AP129610 (TX) Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License AP129610 (TX) Secondary

Other identifiers

Identifier Type State Issuer
0389946 Medicaid OH -
083850001 Medicaid TX -
017801401 Medicaid TX -
063389301 Medicaid TX -
87V600 Other TX BCBS
87V601 Other TX BCBS
AP129610 Other TX TEXAS STATE LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Kimberly Vandalen practice?
The practice location on file with NPPES is in Xenia, OH. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Kimberly Vandalen?
The National Provider Identifier (NPI) for Kimberly Vandalen is 1053784009, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-10-22.