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Individual

KATHERINE LYNN PERAUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-2171
Mailing address
PO BOX 78009, SAINT LOUIS, MO 63178-8009
(866) 898-7142
(616) 975-9824

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2008002448
MO
390200000X
Student in an Organized Health Care Education/Training Program
2005018539
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200573730A
KS
05
200573730B
KS
05
200573730C
KS
05
200573730D
KS
01
40355015
BCBS
Enumeration date
06/18/2006
Last updated
10/15/2008
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