Individual
KATHLEEN F. CHRISTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
300 1ST CAPITOL DR, SAINT CHARLES, MO 63301-2844
(636) 947-5000
Mailing address
1836 LACKLAND HILL PKWY, ATTN CREDENTIALING DEPARTMENT, SAINT LOUIS, MO 63146-3572
(314) 989-0300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2006030652
MO
Other
Enumeration date
06/19/2007
Last updated
03/13/2023
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