Organization
KIMBERLY NICHELSON DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY M NICHELSON DPM (CEO)
(419) 750-0041
Entity
Organization
Contact information
Practice address
630 E RIVER ST, ELYRIA, OH 44035-5902
(419) 750-0041
Mailing address
108 TRAILHEAD LN, BEREA, OH 44017-1099
(419) 750-0041
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36.003767
STATE LICENSE
OH
Enumeration date
09/06/2022
Last updated
09/06/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us