Individual
KIMBERLY PEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
15105 SAINT CLAIR AVE, CLEVELAND, OH 44110-3719
(216) 800-8020
(216) 231-7920
Mailing address
15105 SAINT CLAIR AVE, CLEVELAND, OH 44110-3719
(216) 800-8020
(216) 231-7920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.012512
OH
Other
Enumeration date
05/20/2014
Last updated
01/11/2023
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