Kimberly Nichelson Dpm - Podiatrist in Elyria, OH

Kimberly Nichelson Dpm is a Podiatrist - Foot & Ankle Surgery based in Elyria, Ohio. Kimberly Nichelson Dpm is licensed to practice in * (Not Available) (license number ) and their current practice location is 630 E River St, Elyria, Ohio. It can be reached at their office (for appointments etc.) via phone at (419) 750-0041.

NPI number for Kimberly Nichelson Dpm is 1568183846 and their current mailing address is 108 Trailhead Ln, Berea, Ohio. Kimberly Nichelson Dpm does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1568183846.

Contact Information

Kimberly Nichelson Dpm
630 E River St,
Elyria, OH 44035-5902
(419) 750-0041
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKimberly Nichelson Dpm
TypeFacility
SpecialityPodiatrist - Foot & Ankle Surgery
Location630 E River St, Elyria, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1568183846
  • Provider Enumeration Date: 09/06/2022
  • Last Update Date: 09/06/2022

Medical Identifiers

Medical identifiers for Kimberly Nichelson Dpm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568183846NPI-NPPES
36.003767OtherOHSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Nichelson Dpm is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberly Nichelson Dpm
108 Trailhead Ln,
Berea, OH 44017-1099

Ph: (419) 750-0041
Kimberly Nichelson Dpm
630 E River St,
Elyria, OH 44035-5902

Ph: (419) 750-0041

Reviews and Comments


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