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Individual

DR. KATHRYN A BUCKLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-2076
(314) 747-8953
Mailing address
1 CHILDRENS PL, NWT 8328 CB 8116, SAINT LOUIS, MO 63110-1002
(314) 454-2076
(314) 747-8953

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2011011348
MO
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
2011011348
MO

Other

Enumeration date
08/24/2006
Last updated
01/24/2018
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