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Individual

KATIE D SCHMIDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
300 MEDICAL PLZ STE 150, LAKE ST LOUIS, MO 63367
(636) 625-2662
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019002370
MO

Other

Enumeration date
03/05/2019
Last updated
11/10/2020
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