Provider Demographics
NPI:1508837766
Name:KIMELHEIM, ROBERT A (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:KIMELHEIM
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:493 S SEGUIN AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-7642
Mailing Address - Country:US
Mailing Address - Phone:830-272-7746
Mailing Address - Fax:866-950-0194
Practice Address - Street 1:493 S SEGUIN AVE
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-7642
Practice Address - Country:US
Practice Address - Phone:830-272-7746
Practice Address - Fax:866-950-0194
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-27
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS005321L207RR0500X
TXR4993207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAKI671400OtherPIN NUMBER
PAE85185Medicare UPIN
PAKI671400OtherPIN NUMBER