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Individual

DR. KIMBERLY HARRIS LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
10625 DEAUVILLE RD, CINCINNATI, OH 45240-4004
(770) 733-7560
Mailing address
10625 DEAUVILLE RD, CINCINNATI, OH 45240-4004
(770) 733-7560

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD001018
GA
213EP1101X
Primary Podiatric Medicine Podiatrist
003766
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
131408692A
GA
Enumeration date
02/26/2006
Last updated
05/17/2016
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