Individual
MS. KATELYN CURRAN LEESTMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1 CHILDRENS PL, DIV PED GENETICS & GENOMIC MED, SAINT LOUIS, MO 63110-1002
(314) 454-6093
(314) 454-2075
Mailing address
1 CHILDRENS PL, MSC 8515-87-1200, SAINT LOUIS, MO 63110-1002
(314) 454-6093
(314) 454-2075
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2019042984
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420083711
—
MO
Enumeration date
10/12/2018
Last updated
11/15/2021
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