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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

RONALD C KIMMONS, PSYD, MSW, MA
2303 25TH AVE
OAKLAND, CA94601-1211
 Phone: 510-219-6405
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for RONALD C KIMMONS · (Male)

NPI # 1003018391
Status Active
Credentials PSYD, MSW, MA
Entity Individual
Enumeration date 05/31/2007
Last updated 12/06/2010 - About 9 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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