| NPI | 1619192655 |
|---|---|
| Doing Business As | WESTERN RESERVE FOOT CLINIC |
| Entity Type | Organization |
| Authorized Contact | KENNETH HARLEY NIXON President 330-689-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: OH 36-00-2719) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2009-04-23 |