Kimberly Nichelson Dpm

LBN: Kimberly Nichelson Dpm
Kimberly Nichelson Dpm is an health care organization with primary practice located at 630 E River St , Elyria OH 44035-5902. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Kimberly Nichelson Dpm can be contacted via phone (419) 750-0041, or through Nichelson, Kimberly M via phone (419) 750-0041.

Contact Information

Primary practice address
630 E River St Elyria OH 44035-5902
Phone: (419) 750-0041
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nichelson, Kimberly M Doctor of Podiatric Medicine (DPM)
Phone: (419) 750-0041

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X

Profile Details

NPI number 1568183846
LBN Legal business name Kimberly Nichelson Dpm
DBA Doing business as
Authorized official Nichelson, Kimberly M Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2022
Last updated Sep 6th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568183846 NPPES
Ohio Other 36.003767 STATE LICENSE

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