Kim Marie Waterhouse
Pediatrician Allergist
1101 Highway K
O Fallon
, Missouri 63366-8431
Kim Marie Waterhouse
Pediatrician Allergist
1101 Highway K
O Fallon
, Missouri 63366-8431
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About
Features
Specialties
- Allergist
- Pediatrician
Languages spoken
- English
Location
First Address
- Kim Marie Waterhouse
- Po Box 955534
- Saint Louis, MO
- Zip : 63195-5534
- Phone :
Second Address
- Kim Marie Waterhouse
- 1101 Highway K
- O Fallon, MO
- Zip : 63366-8431
- Fax : (636) 379-1297
- Phone : (636) 379-6363
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207KA0200X | Allergist | 2009005694 | MO |
| N | 208000000X | Pediatrician | 2009005694 | MO |
National Provider Identifier
| NPI | 1730384322 |
|---|---|
| Provider Name | Kim Marie Waterhouse |
| First Address | Saint Louis, MO 63195-5534 |
| Second Address | O Fallon, MO 63366-8431 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/06/2007 |
| Last Update Date | 12/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.