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Individual
MS. KIMBERLY SUE CICCERO
Active
Individual
MS. KIMBERLY SUE CICCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36003436
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000252794
UNISON
OH
01
—
000000580187
ANTHEM
OH
01
—
1366529653
MEDICARE NPI
OH
01
—
1699074393
MEDICARE NPI
OH
05
—
2657843
—
OH
01
—
310945970
GREAT WEST
OH
01
—
5340555
CIGNA
OH
01
—
7970774
AETNA
OH
01
—
986832
FIRST HEALTH NETWORK
OH
Enumeration date
05/17/2006
Last updated
09/29/2026
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