KIMBERLY MARIE NICHELSON DPM NPI 1538504360

NPI Information

Kimberly Marie Nichelson, DPM is a foot and ankle surgery podiatrist in Sheffield Village, OH with 11 years of experience. Kimberly Marie Nichelson, DPM NPI is 1538504360. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2013

The provider's business location address is:

5321 MEADOW LANE CT
SHEFFIELD VILLAGE, OH
ZIP 44035-600
Phone: (440) 934-8444

The NPI 1538504360 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/7/2013 and was last updated on 6/7/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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