Individual
DR. KIMBERLY A MONNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9200 WALL ST, AUSTIN, TX 78754-4534
(512) 375-1275
(512) 873-5004
Mailing address
9200 WALL ST, AUSTIN, TX 78754-4534
(512) 375-1275
(512) 873-5004
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A83665
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
L7817
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A836650
—
CA
05
—
311355701
—
TX
Enumeration date
07/20/2006
Last updated
05/16/2023
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