Provider Demographics
NPI:1053107094
Name:REINHARDT, KIMBERLY SUZANNE (PHD)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:SUZANNE
Last Name:REINHARDT
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 WILLIAMSON PL
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-2233
Mailing Address - Country:US
Mailing Address - Phone:928-566-9401
Mailing Address - Fax:
Practice Address - Street 1:601 WILLIAMSON PL
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-2233
Practice Address - Country:US
Practice Address - Phone:928-566-9401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No171M00000XOther Service ProvidersCase Manager/Care Coordinator