# KATIE DIENELL PAC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184560575
- **Authorized official:** KATIE TUHILL PA-C (OWNER PHYSICIAN ASSISTANT)
- **Authorized official phone:** (314) 583-9551

## Contact information

- **Practice address:** 4401 MERAMEC BOTTOM RD STE C, SAINT LOUIS, MO 63129-2564
- **Practice address phone:** (314) 583-9551
- **Practice address fax:** (636) 791-0306
- **Mailing address:** 4401 MERAMEC BOTTOM RD STE C, SAINT LOUIS, MO 63129-2564
- **Mailing address fax:** (636) 791-0306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/27/2026
- **Last updated:** 04/27/2026