Individual
MISS KRISTINA KLAVERKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPA
Contact information
Practice address
2810 FRANK SCOTT PKWY W STE 716, BELLEVILLE, IL 62223-5007
(618) 355-0880
Mailing address
2810 FRANK SCOTT PKWY W STE 716, BELLEVILLE, IL 62223-5007
(618) 355-0880
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1176339
MO
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/13/2020
Last updated
05/19/2023
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