Kimberlyn Breaden

Individual provider Active NPI Addiction (Substance Use Disorder) Registered Nurse · Shelbyville, KY

NPI 1386585529 · NPPES record last updated Apr 2, 2026

Key facts

NPI
1386585529
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X
License
1160210 (KY)
Practice address
213 Midland Blvd
Shelbyville, KY 40065-7791
Phone
(866) 788-0529
NPI assigned
Apr 2, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1160210KYMDAddiction (Substance Use Disorder) Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 1160210 KY Yes

Addresses

Primary practice location

213 Midland Blvd
Shelbyville, KY 40065-7791

Mailing address

74 Oakwood Cir
Pendleton, KY 40055-7715

Other providers in Shelbyville, KY

All providers in Shelbyville, KY · Addiction (Substance Use Disorder) Registered Nurse in Kentucky

Sources for this page

Verify at the official NPI Registry.