| Doctor Name: | DR. KIMEL A. LIMON |
| NPI Number: | 1043346208 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | PSY 17613 |
| Business Practice Address: | 875 5th Street Suite 4 Crescent City, CA - 95531 |
| Business Phone Number: | 5412540941 |
| Business Fax Number: | 7078126106 |
| Mailing Address: | 16340 Lower Harbor Rd, #331 BROOKINGS |
| State: | OR |
| Postal Code: | 97415 |
| Phone Number: | 5412540941 |
| Fax Number: | 7078126106 |
| NPI Enumeration Date: | 02/24/2007 |
| NPI Last Update Date: | 05/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY 17613 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |