Provider Demographics
NPI:1114042678
Name:SLAWINSKI, KIMBERLY A (MD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:A
Last Name:SLAWINSKI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:59TH MEDICAL TRAINING GROUP
Mailing Address - Street 2:2200 BERGQUIST DR, SUITE 1
Mailing Address - City:LACKLAND AFB
Mailing Address - State:TX
Mailing Address - Zip Code:78236-9908
Mailing Address - Country:US
Mailing Address - Phone:210-292-3519
Mailing Address - Fax:210-292-3527
Practice Address - Street 1:2200 BERGQUIST DR
Practice Address - Street 2:SUITE 1
Practice Address - City:LACKLAND A F B
Practice Address - State:TX
Practice Address - Zip Code:78236-9907
Practice Address - Country:US
Practice Address - Phone:210-292-3519
Practice Address - Fax:210-292-3527
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
FLME 54715207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology