Organization
KIM LEE MCDONALD, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM LEE MCDONALD MD (PRESIDENT)
(314) 838-8839
Entity
Organization
Contact information
Practice address
4585 WASHINGTON ST, SUITE C4, FLORISSANT, MO 63033-5858
(314) 838-8839
(314) 838-4291
Mailing address
4585 WASHINGTON ST, SUITE C4, FLORISSANT, MO 63033-5858
(314) 838-8839
(314) 838-4291
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R4E37
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386636009
INDIVIDUAL NPI #
MO
Enumeration date
10/11/2007
Last updated
02/12/2008
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