Search › Missouri › 363L00000X
Kimberly Bonvillain, FNP-C
NPI 1649561788 · on the registry since 2011
Practice
- Address
- 20 Progress Point Pkwy Ste 108
O Fallon, MO 63368 - Phone
- (636) 344-2400
- Fax
- (636) 344-2401
- Organisation at this address
- Washington University
Wuca-O'Fallon Pediatrics, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 61
Additional practice sites
- 3333 Burnet Ave, Cincinnati, OH
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LF0000X
363L00000X
363LF0000X - Licence states on file
- KY, MO, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri