Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kristen Wymore Waterbury, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1053841767

Dr. Kristen Wymore Waterbury, MD is an Obstetrics/Gynecology in Saint Louis, Missouri. Graduated from University of Missouri, Columbia School of Medicine in 2017, 9 years ago. Practices with Mercy Clinic East Communities, a 573-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
9
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
MO
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10004 Kennerly Rd Ste 230A
Saint Louis, MO 63128-2181
Phone: (314) 406-2879
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 2021023210 (MO)

Record details

NPI number1053841767
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2017
Last updated in NPPESOctober 15, 2021
Certification dateOctober 15, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Mercy Clinic East Communities — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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