| Doctor Name: | KIMBERLY ANNE COLLINS |
| NPI Number: | 1043526833 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | PA04275 |
| Business Practice Address: | 525 S 10th St Raymondville, TX - 785802508 |
| Business Phone Number: | 9566892493 |
| Business Fax Number: | 9566895090 |
| Mailing Address: | Rr 2 Box 336, RAYMONDVILLE |
| State: | TX |
| Postal Code: | 785809622 |
| Phone Number: | 9566892493 |
| Fax Number: | 9566895090 |
| NPI Enumeration Date: | 08/31/2010 |
| NPI Last Update Date: | 08/31/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA04275 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |