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Kimberly Deem

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

7292 Fulton Dr NW, Canton, OH 44718-1525

PECOS Enrollment

Based on the most recent information from CMS, provider Kimberly Deem is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1942684931
Provider Type
Individual
Full Name
Deem, Kimberly
Gender
Female

Sole Proprietor
No
Enumeration Date
7/20/2015
Last Updated
8/16/2022

Contact Information

Practice Location

7292 Fulton Dr NW, Canton, OH 44718-1525

(330) 837-3095

Unlisted Fax

Mailing Location

7292 Fulton Dr NW, Canton, OH 44718-1525

(330) 837-3095

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 17511 Ohio

Kimberly Deem

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Johnson, Heather

Smart, Richele

Berkshire, Jillian

Kaput, Inglish

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Berg, Melissa

Stockert, Stacie

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Stearns, David Allen