Organization
BUCKEYE FOOT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD MYLES KIMMEL DPM (DOCTOR OF PODIATRY)
(216) 267-0304
Entity
Organization
Contact information
Practice address
14401 SNOW RD STE 102, BROOK PARK, OH 44142-2583
(216) 267-0304
Mailing address
14401 SNOW RD STE 102, BROOK PARK, OH 44142-2583
(216) 267-0304
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002841
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2733742
—
OH
01
—
480026423
RAILROAD MEDICARE
OH
01
—
DG0721
RAILROAD MEDICARE
OH
Enumeration date
11/02/2006
Last updated
02/05/2020
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