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Individual

DR. KATHERINE CAROLINE WHITE STENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 JEFFERSON BARRACKS DR BLDG 52, SAINT LOUIS, MO 63125
(314) 652-4100
Mailing address
1 JEFFERSON BARRACKS DR BLDG 52, SAINT LOUIS, MO 63125-4181
(314) 652-4100

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01068430A
IN
2081P0004X
Spinal Cord Injury Medicine Physician
036.122468
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000676012
ANTHEM
IN
05
200990930
IN
Enumeration date
08/04/2008
Last updated
07/09/2018
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