Provider Demographics
NPI:1437042199
Name:NIMOX, KIRMON CHARLES III
Entity type:Individual
Prefix:MR
First Name:KIRMON
Middle Name:CHARLES
Last Name:NIMOX
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1022 MCCULLOUGH ST
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-3740
Mailing Address - Country:US
Mailing Address - Phone:567-328-2318
Mailing Address - Fax:
Practice Address - Street 1:1022 MCCULLOUGH ST
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-3740
Practice Address - Country:US
Practice Address - Phone:567-328-2318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-02
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide