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Kimberly N Hackney, DO
Pediatrics Physician in O Fallon, Missouri
NPI 1083842454

Kimberly N Hackney is a Pediatrics Physician based in O Fallon, MO. Kimberly N Hackney practices in O Fallon, MO and has the professional credentials of DO. The NPI Number for Kimberly N Hackney is 1083842454 and holds a License No. 2010037113 (Missouri).

The current practice location address for Kimberly N Hackney is 300 Winding Woods Dr Ste 120, O Fallon, MO and can be reached out via phone at 636-978-7902.

Location: 300 Winding Woods Dr Ste 120, O Fallon, MO, 63366-4772
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083842454
Provider Name
Kimberly N Hackney
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
300 Winding Woods Dr Ste 120, O Fallon, MO, 63366-4772
Phone Number
636-978-7902
Fax Number
Provider Enumeration Date
06/24/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01296531 01 MO RAILROAD MEDICARE
PAYEE 1 01 IL ILLINOIS MEDICAL ASSISTANCE PROGRAM
1083842454 05 MO
institution
Provider Business Practice Location Address Details
Address
300 Winding Woods Dr Ste 120
City
O Fallon
State
Missouri
Zip
63366-4772
Phone Number
636-978-7902
Fax Number
person
Provider Business Mailing Address Details
Address
300 Winding Woods Dr Ste 120
City
O Fallon
State
Missouri
Zip
63366-4772
Phone Number
636-978-7902
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
05-35901 (Kansas)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Emergency Medicine
Taxonomy
2080P0204X
License No.
2010037113 (Missouri)
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
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