Individual
MISS REGINA MARIE KIMBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6009 SUNTAN DRIVE, SAINT CHARLES, MO 63301-8488
(202) 374-4149
Mailing address
6009 SUNTAN DR, SAINT CHARLES, MO 63301-8488
(202) 374-3149
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2025009599
MO
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
10/04/2013
Last updated
01/15/2026
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