Provider Demographics
NPI:1205255775
Name:TOTMAN, KIMBERLEY MICHELLE (PA - PHYSICIAN ASSIS)
Entity type:Individual
Prefix:MS
First Name:KIMBERLEY
Middle Name:MICHELLE
Last Name:TOTMAN
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Gender:F
Credentials:PA - PHYSICIAN ASSIS
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Mailing Address - Street 1:414 W SUNSET RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-1771
Mailing Address - Country:US
Mailing Address - Phone:210-255-8447
Mailing Address - Fax:210-255-8446
Practice Address - Street 1:131 W SUNSET RD STE 101
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-2797
Practice Address - Country:US
Practice Address - Phone:210-255-8447
Practice Address - Fax:210-255-8446
Is Sole Proprietor?:No
Enumeration Date:2014-04-14
Last Update Date:2023-07-05
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Provider Licenses
StateLicense IDTaxonomies
TXPA08627363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant