Individual
DR. KIM L MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14021 NEW HALLS FERRY RD, FLORISSANT, MO 63033-2763
(314) 617-3200
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
—
000014505
MEDICARE GROUP #
MO
05
—
501498406
—
MO
Enumeration date
08/18/2005
Last updated
04/08/2026
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