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Kimberly Nichelson Dpm
Foot & Ankle Surgery Podiatrist in Elyria, Ohio
NPI 1568183846

Kimberly Nichelson Dpm is a Foot & Ankle Surgery Podiatrist based in Berea, OH and is specialized in Foot & Ankle Surgery. Kimberly Nichelson Dpm practices in Elyria, OH. The NPI Number for Kimberly Nichelson Dpm is 1568183846 and holds a License No. (Ohio).

The current practice location address for Kimberly Nichelson Dpm is 630 E River St, Elyria, OH and can be reached out via phone at 419-750-0041.

Location: 630 E River St, Elyria, OH, 44017-1099
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568183846
Provider Name
Kimberly Nichelson Dpm
Credential
Provider Entity Type
Organization
Address
630 E River St, Elyria, OH, 44017-1099
Phone Number
419-750-0041
Fax Number
Provider Enumeration Date
09/06/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36.003767 01 OH STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
630 E River St
City
Elyria
State
Ohio
Zip
44035-5902
Phone Number
419-750-0041
Fax Number
person
Provider Business Mailing Address Details
Address
630 E River St
City
Elyria
State
Ohio
Zip
44035-5902
Phone Number
419-750-0041
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
()
Definition
Definition to come...
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