| Kim Lee Mcdonald, M.d., P.c. | |
|
4585 Washington St Suite C4 Florissant MO 63033-5858 | |
| (314) 838-8839 | |
| (314) 838-4291 |
| Full Name | Kim Lee Mcdonald, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4585 Washington St, Florissant, Missouri |
| Authorized Official Name and Position | Kim Lee Mcdonald (PRESIDENT) |
| Authorized Official Contact | 3148388839 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Lee Mcdonald, M.d., P.c. 4585 Washington St Suite C4 Florissant MO 63033-5858 Ph: (314) 838-8839 | Kim Lee Mcdonald, M.d., P.c. 4585 Washington St Suite C4 Florissant MO 63033-5858 Ph: (314) 838-8839 |
| NPI Number | 1104014489 |
|---|---|
| Provider Enumeration Date | 10/11/2007 |
| Last Update Date | 02/12/2008 |
| Medicare PECOS PAC ID | 8527015346 |
|---|---|
| Medicare Enrollment ID | O20050405000108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104014489 | NPI | - | NPPES |
| 1386636009 | Other | MO | INDIVIDUAL NPI # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | R4E37 (Missouri) | Primary |
| Provider Name | Kim L Mcdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386636009 PECOS PAC ID: 5799732517 Enrollment ID: I20050406000000 |
Northwest Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 Graham Rd, Suite 220, Florissant, MO 63031 Phone: 314-838-6700 Fax: 314-838-6020 | |
Bjc Medical Group North County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1150 Graham Rd, Suite 101, Florissant, MO 63031 Phone: 314-831-6737 Fax: 314-831-9269 | |
Ssm Health Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1120 Shackelford Rd, Florissant, MO 63031 Phone: 314-921-4420 Fax: 314-921-6086 | |
Chambers Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3533 Dunn Rd, Suite 204, Florissant, MO 63033 Phone: 314-831-2600 Fax: 314-831-5393 | |
Chandra S. Kaup,m.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1224 Graham Rd, Suite 2006, Florissant, MO 63031 Phone: 314-830-5233 Fax: 314-830-5225 | |
Total Access Urgent Care, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1090 N Highway 67 St, Florissant, MO 63031 Phone: 314-961-2255 Fax: 314-270-3694 |