Provider Demographics
NPI:1760522080
Name:BUTTERWICK, KIMBERLY JANE (MD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:JANE
Last Name:BUTTERWICK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9339 GENESEE AVE
Mailing Address - Street 2:300
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-2119
Mailing Address - Country:US
Mailing Address - Phone:858-657-1002
Mailing Address - Fax:858-657-9392
Practice Address - Street 1:9339 GENESEE AVE
Practice Address - Street 2:300
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-2119
Practice Address - Country:US
Practice Address - Phone:858-657-1002
Practice Address - Fax:858-657-9392
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2011-08-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG48196207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology