Individual
TRACI LYNNE KOHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9549 WATSON ROAD, ST. LOUIS, MO 63126
(314) 651-3883
Mailing address
9549 WATSON ROAD, ST. LOUIS, MO 63126
(314) 651-3883
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2006017275
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA1595030
MEDICARE ID
MO
Enumeration date
02/19/2007
Last updated
11/27/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us