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KIM LEE MCDONALD M.D. P.C. NPI 1104014489


NPI Information

NPI: 1104014489
Provider Name: KIM LEE MCDONALD, M.D., P.C.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 26D0996546

Address:
4585 WASHINGTON ST
SUITE C4
FLORISSANT, MO
ZIP 63033
Phone: (314) 838-8839
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KIM LEE MCDONALD, M.D., P.C. is an internal medicine in Florissant, MO. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. KIM LEE MCDONALD, M.D., P.C. NPI is 1104014489. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4585 WASHINGTON ST
SUITE C4
FLORISSANT, MO
ZIP 63033-858
Phone: (314) 838-8839
Fax: (314) 838-4291

The provider's authorized official is Kim Lee Mcdonald .
The authorized official title is President and has the following contact phone number (314) 838-8839.

The CLIA number assigned to this NPI record is 26D0996546 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2007 and was last updated on 2/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineR4E37MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A12821MEDICARE UPINMISSOURI
21386636009OTHERMISSOURIINDIVIDUAL NPI #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.