Provider Demographics
NPI:1689761421
Name:RAWLINS, KIMBERLY (MD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:
Last Name:RAWLINS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 700 C/O CUSTOM MEDICAL BILLING INC
Mailing Address - Street 2:50 WEST MAIN STREET
Mailing Address - City:AYER
Mailing Address - State:MA
Mailing Address - Zip Code:01432-1233
Mailing Address - Country:US
Mailing Address - Phone:978-772-7895
Mailing Address - Fax:978-772-4176
Practice Address - Street 1:1419 BEACON ST
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-4808
Practice Address - Country:US
Practice Address - Phone:617-834-2092
Practice Address - Fax:978-287-5566
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA551462084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY02684Medicare UPIN