Provider Demographics
NPI:1396315065
Name:FIUCCI, KIMBERLY I (BCND)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:FIUCCI
Suffix:I
Gender:F
Credentials:BCND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8442 MAYFIELD RD STE E
Mailing Address - Street 2:
Mailing Address - City:CHESTERLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44026-2561
Mailing Address - Country:US
Mailing Address - Phone:440-729-4373
Mailing Address - Fax:440-729-4372
Practice Address - Street 1:8442 MAYFIELD RD STE E
Practice Address - Street 2:
Practice Address - City:CHESTERLAND
Practice Address - State:OH
Practice Address - Zip Code:44026-2561
Practice Address - Country:US
Practice Address - Phone:440-729-4373
Practice Address - Fax:440-729-4372
Is Sole Proprietor?:No
Enumeration Date:2021-06-25
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach