Organization
KIM LEE MCDONALD, M.D., P.C.
Active
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
Update your record
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