Kim Marie Waterhouse M.D.

NPI 1730384322 - Pediatrics - 208000000X

NPI Details
NPI 1730384322
Gender Female
Enumeration Date 06/15/2007
Last Updated 12/28/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
7421 HIGHWAY N
DARDENNE PRAIRIE MO, 63368-7014, US
Phone (636) 669-2424
Fax
Business Location
6319 WADE AVE
SAINT LOUIS MO, 63139-3110, US
Phone
Fax
Toxanomy
Taxonomy Code 208000000X
License State Missouri
License Number 2009005694
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According to our database, Kim Marie Waterhouse M.D. NPI is 1730384322, taxonomy code is 208000000X and license number is 2009005694, license state is located at Missouri. Kim Marie Waterhouse M.D. physically located at 7421 Highway N, Dardenne Prairie MO, 63368-7014. NPI Number Kim Marie Waterhouse M.D. has the Individual type.

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1730384322 NPI number is provided on an as is basis without warranty of any kind. 1730384322 is maintained by the National Plan & Provider Enumeration System. The contents of Kim Marie Waterhouse M.D. are for informational purposes only.