Organization
ST. KOLBE-PUCKETT CENTER FOR HEALING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLINE THALASINOS (OFFICE MANAGER)
(816) 259-5318
Entity
Organization
Contact information
Practice address
210 N 7TH ST, SAINT JOSEPH, MO 64501-1906
(816) 259-5318
(816) 259-5259
Mailing address
970 TARA OAKS DR, CHESTERFIELD, MO 63005-3654
(314) 398-5167
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
12/10/2018
Last updated
05/01/2019
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