Individual
KATHLEEN HOLLOWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5330
(314) 810-1399
Mailing address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5330
(314) 810-1399
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
044030
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
912778214
—
MO
Enumeration date
02/06/2006
Last updated
10/17/2007
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