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Individual

DR. CHARLES J ZIMMERMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3080 HARRODSBURG RD, STE 225, LEXINGTON, KY 40503-2774
(859) 296-4272
(859) 296-9645
Mailing address
3080 HARRODSBURG RD, STE 225, LEXINGTON, KY 40503-2774
(859) 296-4272
(859) 296-9645

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00206
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000041863
ANTHEM BCBS
KY
01
480031505
RAILROAD MEDICARE
KY
05
80002066
KY
Enumeration date
08/04/2006
Last updated
09/04/2013
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