Individual
MR. EDWARD KIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
115 MEDICAL DR STE 207, VICTORIA, TX 77904-3106
(361) 572-4246
(361) 572-9490
Mailing address
5016 COUNTY ROAD 400, YOAKUM, TX 77995-6636
(361) 293-3471
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105776
TX
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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