Most Relevant Information
Provider Data
| NPI Number: | 1003018391 |
| Provider Name: | RONALD C. KIMMONS PSYD, MSW, MA |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/31/2007 |
| Last Updated: | 12/06/2010 |
Provider Practice Location
2303 25TH AVE
OAKLAND
CA
946011211
Practice Location Phone/Fax
| Phone: | 5102196405 |
| Fax: |
Provider Mailing Location
2303 25TH AVE
OAKLAND
CA
946011211
Provider Mailing Phone/Fax
| Phone: | 5102196405 |
| Fax: |