Individual
KATHLEEN B SHAUGHNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
9580 WATSON RD, STE A, SAINT LOUIS, MO 63126-1539
(314) 965-5437
(314) 965-5439
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 965-5437
(314) 965-5439
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2015037591
MO
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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