Kimberly N. Hackney, D.O.
Pediatrics Physician · O Fallon, MO
Practice location
300 Winding Woods Dr Ste 120O Fallon, MO 63366-4772
- Phone
- (636) 978-7902
NPI record
- NPI
- 1083842454
- Entity type
- Individual (Type 1)
- Enumeration date
- June 24, 2009
- Last updated
- November 28, 2017
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Physician Primary | 208000000X |
2010037113 | MO |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X |
2010037113 | MO |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X |
05-35901 | KS |
Other practice locations (1)
- 615 S New Ballas Rd, Suite 6006B, Saint Louis, MO 63141-8221 · (314) 251-6299
About Dr. Hackney
Kimberly N. Hackney, D.O. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 300 Winding Woods Dr Ste 120, O Fallon, MO 63366-4772. The NPI number 1083842454 was assigned on June 24, 2009 and the record was last updated on November 28, 2017.
Dr. Hackney lists 3 licenses in the registry: #2010037113 (MO) for Pediatrics Physician; #2010037113 (MO) for Pediatric Emergency Medicine (Pediatrics) Physician; #05-35901 (KS) for Pediatric Emergency Medicine (Pediatrics) Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kimberly N. Hackney, D.O.?
The NPI number is 1083842454.
What is the phone number of Dr. Hackney?
The phone number listed for the practice location is (636) 978-7902.
Where is Dr. Hackney located?
300 Winding Woods Dr Ste 120, O Fallon, MO 63366-4772.
What is the taxonomy code for Dr. Hackney?
The primary taxonomy code is 208000000X – Pediatrics Physician; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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- Colin Christopher Dolan, MD20 Progress Point Pkwy