Individual
AUSTIN KIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
400 S EL CIELO RD STE E, SUITE E, PALM SPRINGS, CA 92262-7926
(760) 416-1753
Mailing address
5165 PEARBLOSSOM DR, RIVERSIDE, CA 92507-6054
(916) 945-6531
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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