NPI 1083842454

Kimberly N Hackney, DO

Practitioner Pediatrics Physician O Fallon, MO

Practice location

Address: 300 Winding Woods Dr STE 120, O Fallon, MO 63366-4772
Phone: (636) 978-7902

Registered specialties (3)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 2010037113 (MO)

Other Pediatrics providers in Missouri →

Pediatric Emergency Medicine (Pediatrics) Physician

Allopathic & Osteopathic Physicians Taxonomy 2080P0204X Licence 2010037113 (MO)

Pediatric Emergency Medicine (Pediatrics) Physician

Allopathic & Osteopathic Physicians Taxonomy 2080P0204X Licence 05-35901 (KS)

Registry record

NPI: 1083842454
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jun 2009
Record last updated: 28 Nov 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.