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Contact Information

KIM M WATERHOUSE, MD
1101 HIGHWAY K
O'FALLON, MO63366-8431
 Phone: 636-379-6363
 Fax: 636-379-1297
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Allergy/Immunology

2080P0201X 37 Physician/Pediatric Medicine
 

Allergy

207KA0200X 03 Physician/Allergy/ Immunology
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KIM M WATERHOUSE · (Female)

NPI # 1730384322
Status Active
Credentials MD
Entity Individual
Enumeration date 06/15/2007
Last updated 08/28/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • MO License # 2009005694
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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