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Individual
KIM MARIE WATERHOUSE
Active
Individual
KIM MARIE WATERHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
2009005694
MO
208000000X
Pediatrics Physician
2009005694
MO
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
2009005694
MO
Other
Enumeration date
06/15/2007
Last updated
08/28/2025
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