person
Ms. Kimberly Sue Ciccero, DPM
Foot & Ankle Surgery Podiatrist in Galion, Ohio
NPI 1083666036

Kimberly Sue Ciccero is a Foot & Ankle Surgery Podiatrist based in Columbus, OH and is specialized in Foot & Ankle Surgery. Kimberly Sue Ciccero practices in Galion, OH and has the professional credentials of DPM. The NPI Number for Kimberly Sue Ciccero is 1083666036 and holds a License No. 36003436 (Ohio).

The current practice location address for Kimberly Sue Ciccero is 396 Portland Way North, Galion, OH and can be reached out via phone at 419-468-3668 and via fax at 419-462-5037.

Location: 396 Portland Way North, Galion, OH, 43227-1923
person
Provider Profile Details
NPI Number
1083666036
Provider Name
Kimberly Sue Ciccero
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
396 Portland Way North, Galion, OH, 43227-1923
Phone Number
419-468-3668
Fax Number
419-462-5037
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
986832 01 OH COVENTRY
7970774 01 OH AETNA
310945970 01 OH GREAT WEST
1366529653 01 OH MEDICARE NPI
1699074393 01 OH MEDICARE NPI
000000252794 01 OH UNISON
000000580187 01 OH ANTHEM
2657843 05 OH
5340555 01 OH CIGNA
986832 01 OH FIRST HEALTH NETWORK
institution
Provider Business Practice Location Address Details
Address
396 Portland Way North
City
State
Zip
44833
Phone Number
419-468-3668
Fax Number
419-462-5037
person
Provider Business Mailing Address Details
Address
396 Portland Way North
City
State
Zip
44833
Phone Number
419-468-3668
Fax Number
419-462-5037
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
36003436 (Ohio)
Definition
Definition to come...
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