Provider Demographics
NPI:1255561700
Name:REIMERS, KEVIN LEWIS (MS)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:LEWIS
Last Name:REIMERS
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3461
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95927-3461
Mailing Address - Country:US
Mailing Address - Phone:530-591-1728
Mailing Address - Fax:
Practice Address - Street 1:2575 FOREST AVE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-7686
Practice Address - Country:US
Practice Address - Phone:530-591-1728
Practice Address - Fax:530-893-6144
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-17
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
CA82463106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist