Organization
KATIE DIENELL PAC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE TUHILL PA-C (OWNER PHYSICIAN ASSISTANT)
(314) 583-9551
Entity
Organization
Contact information
Practice address
4401 MERAMEC BOTTOM RD STE C, SAINT LOUIS, MO 63129-2564
(314) 583-9551
(636) 791-0306
Mailing address
4401 MERAMEC BOTTOM RD STE C, SAINT LOUIS, MO 63129-2564
(636) 791-0306
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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