Provider Demographics
NPI:1285158378
Name:RAMCHARAN, KIMBERLY (DC)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:
Last Name:RAMCHARAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E SONTERRA BLVD STE 375
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4321
Mailing Address - Country:US
Mailing Address - Phone:210-489-1623
Mailing Address - Fax:
Practice Address - Street 1:18830 FORTY SIX PARKWAY
Practice Address - Street 2:BLDG 1 SUITE B
Practice Address - City:SPRING BRANCH
Practice Address - State:TX
Practice Address - Zip Code:78070
Practice Address - Country:US
Practice Address - Phone:303-277-3278
Practice Address - Fax:830-231-2133
Is Sole Proprietor?:No
Enumeration Date:2017-07-31
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15519111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor