Kim Lee McDonald, M.D., P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R4E37 Issued in MO

Legal business name

KIM LEE MCDONALD, M.D., P.C.

Practice address

4585 Washington St
Suite C4
Florissant, MO 63033-5858

Phone

(314) 838-8839

Fax

(314) 838-4291

NPI assigned

Oct 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kim Lee McDonald, MD

Title

President

Phone

(314) 838-8839

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1104014489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4585 WASHINGTON ST",
            "address_2": "SUITE C4",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630335858",
            "telephone_number": "314-838-8839",
            "fax_number": "314-838-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4585 WASHINGTON ST",
            "address_2": "SUITE C4",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630335858",
            "telephone_number": "314-838-8839",
            "fax_number": "314-838-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM LEE MCDONALD, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-838-8839",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R4E37",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1386636009",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen Marie Key, M.S. CCC-SLP
• Erica Latrice Key, LPC
• Janet Keys, LPTA
• Irina Khariton
• Brandon Kyle Killiebrew
• So Youn Youn Kim-Shepherd, FNP
• Steven Kimbrew, PTA
• Athisha King
• Chantaya Monique King, RN
• Margaret Ann King, BS

• Internal Medicine Physician in Florissant, MO
• Providers in Florissant, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.