Healthcare Provider Details

I. General information

NPI: 1396315065
Provider Name (Legal Business Name): KIMBERLY FIUCCI I BCND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2021
Last Update Date: 06/25/2021
Certification Date: 06/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8442 MAYFIELD RD STE E
CHESTERLAND OH
44026-2561
US

IV. Provider business mailing address

8442 MAYFIELD RD STE E
CHESTERLAND OH
44026-2561
US

V. Phone/Fax

Practice location:
  • Phone: 440-729-4373
  • Fax: 440-729-4372
Mailing address:
  • Phone: 440-729-4373
  • Fax: 440-729-4372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: