Individual
DR. KATHRYN BOTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 4005, SAINT LOUIS, MO 63141-8232
(314) 567-5016
(314) 567-1846
Mailing address
4 WOODCLIFFE RD, SAINT LOUIS, MO 63124-1337
(314) 692-2788
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R2G88
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0700174
UNITED HEALTHCARE
MO
01
—
100079
MERCY HEALTH PLAN
MO
01
—
106053
BLUE SHIELD
MO
01
—
117448
HEALTHLINK
MO
05
—
202313029
—
MO
01
—
3140746
CIGNA
MO
01
—
4033
HEALTHCARE USA
MO
01
—
4078452
AETNA
MO
01
—
5045
GROUP HEALTH PLAN
MO
01
—
774260
FIRST HEALTH
MO
Enumeration date
03/03/2006
Last updated
08/20/2012
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