Individual
KATHRYN IMPERIALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5321 BOTANICAL AVE, SAINT LOUIS, MO 63110-3123
(314) 581-2366
Mailing address
5321 BOTANICAL AVE, SAINT LOUIS, MO 63110-3123
(314) 581-2366
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
16400729
IL
133V00000X
Registered Dietitian
Primary
2016033570
MO
Other
Enumeration date
02/21/2022
Last updated
04/05/2022
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