Individual
ADAM NICHOLAS PEDDICORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
4135 DIXIE HWY, ELSMERE, KY 41018-1815
(513) 834-7063
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1457
(513) 834-7063
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009900
KY
Other
Enumeration date
12/30/2015
Last updated
12/22/2021
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