Provider Demographics
NPI:1104127273
Name:CURTIS, KIMBERLY M (RPH)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:M
Last Name:CURTIS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 CANDELARIA
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-4711
Mailing Address - Country:US
Mailing Address - Phone:210-372-0049
Mailing Address - Fax:
Practice Address - Street 1:6393 BABCOCK RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-2516
Practice Address - Country:US
Practice Address - Phone:210-690-9025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-05
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32182183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist