Buckeye Foot Care
Podiatrist in Willoughby, OH. Organization (NPI-2).
NPI number1275159345
StatusActive
Last updated in NPPESJun 24, 2020
Details
- NPI
- 1275159345
- Entity type
- Organization (NPI-2)
- Legal business name
- Buckeye Foot Care
- Organization subpart
- No
- Enumeration date
- Jun 24, 2020
- Certification date
- Jun 24, 2020
- Last updated
- Jun 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | – | Yes |
Practice location
5105 Som Center Rd Ste 102Willoughby, OH 44094-4203
Phone 216-267-0304 · Fax 216-267-4932
Mailing address
14401 Snow Rd Ste 102Brookpark, OH 44142-2583
Phone 216-267-0304 · Fax 216-267-4932
Authorized official
Howard Myles Kimmel
Owner
2162670304
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