| Doctor Name: | KIMBERLY SALCER |
| NPI Number: | 1013310051 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | COA.16266-NP |
| Business Practice Address: | 36100 Euclid Ave Suite 270 Willoughby, OH - 440944456 |
| Business Phone Number: | 4409468300 |
| Business Fax Number: | |
| Mailing Address: | 6559 Wilson Mills Rd, Suite 106 MAYFIELD VILLAGE |
| State: | OH |
| Postal Code: | 441436402 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/06/2014 |
| NPI Last Update Date: | 10/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | COA.16266-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |