Individual
DR. KENNETH H. NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
4495 DARROW RD, STOW, OH 44224-1854
(330) 689-3338
(330) 689-0282
Mailing address
4495 DARROW RD, STOW, OH 44224-1854
(330) 689-3338
(330) 689-0282
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-00-2719
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0829821
—
OH
Enumeration date
07/11/2005
Last updated
08/29/2008
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