Well, if $\kappa$ is a successor, then any $\kappa$-Kurepa tree is slim (or, at least, is slim above some level).
But the implication is not true in general. For example, if $\kappa$ is a strong limit, then the full binary tree of height $\kappa$ is a $\kappa$-Kurepa tree. But if $\kappa$ additionally has some compactness properties (for example, if it is measurable) then there cannot be any slim $\kappa$-Kurepa trees.