Individual
KIMBERLY RAYE MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
411 E CHESTNUT ST # STREET2, LOUISVILLE, KY 40202-1713
(502) 588-0850
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
25161
MS
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
57529
KY
208000000X
Pediatrics Physician
25161
MS
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
25161
MS
Other
Enumeration date
07/08/2010
Last updated
12/21/2022
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