Lewis, Kimberly Harris

Lewis, Kimberly Harris is an sole proprietor health care provider with primary practice located at 10625 Deauville Rd , Cincinnati OH 45240-4004. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Lewis, Kimberly Harris can be contacted via phone (770) 733-7560.

Contact Information

Primary practice address
10625 Deauville Rd Cincinnati OH 45240-4004
Phone: (770) 733-7560
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POD001018 Georgia
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 003766 Ohio

Profile Details

NPI number 1073589412
LBN Legal business name Lewis, Kimberly Harris
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2006
Last updated May 17th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073589412 NPPES
Georgia MEDICAID 131408692A

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