Individual
EDEN KIMIAGAROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5515 PEACH ST, ERIE, PA 16509-2603
(814) 868-8217
Mailing address
5310 ROME DR APT 101, ERIE, PA 16509-3869
(954) 759-1563
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
OT025465
PA
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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