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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KIM L MCDONALD, M.D.

Deactivated Sole Proprietor

DR. KIM L MCDONALD, M.D. is a Internal Medicine healthcare provider located in FLORISSANT, Missouri. NPI 1386636009 is deactivated in the NPPES registry. Verify at CMS.

Internal Medicine · FLORISSANT, MO

This NPI has been deactivated. The record was deactivated on March 23, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1386636009
Provider Type
Individual
Gender
Female
NPI Issued
Aug 18, 2005 (0.59452054794521 yrs)
Last Updated
Feb 21, 2025
Deactivated
Mar 23, 2006
License
R4E37 (MO)
Sole Proprietor
Yes

Practice Information

Address
4585 WASHINGTON ST
SUITE C4
FLORISSANT, MO, 630335858
Browse MO providers · Browse ZIP 63033
Phone
3148388839
Fax
3148384291
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Providers in FLORISSANT, MO

Name Credential NPI
IRWIN PLISCO M.D. 1871574525
DENNIS R PATTON M.D. 1447231196
DR. CAMI LYNN WATKINS M.D. 1376516427
MOHAMED A.S. ALI M.D. 1285607135
MARK A FARON MD 1356314041
JEFFREY C FARON MD 1316911829
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.