Provider Demographics
NPI:1770681785
Name:DEVORE, KIMBERLY M (DO)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:M
Last Name:DEVORE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1211 OLD MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:KY
Mailing Address - Zip Code:42347-1619
Mailing Address - Country:US
Mailing Address - Phone:270-274-9928
Mailing Address - Fax:
Practice Address - Street 1:1313 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BEAVER DAM
Practice Address - State:KY
Practice Address - Zip Code:42320-8957
Practice Address - Country:US
Practice Address - Phone:270-274-9928
Practice Address - Fax:270-298-9506
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIDOS919207V00000X
CODR0064582207V00000X
NH20708207V00000X
KY06086207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology