Individual
MRS. KIMBERLY L. KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1615 JUNGERMANN RD, SAINT PETERS, MO 63304-2821
(636) 800-2157
(636) 800-2159
Mailing address
1615 JUNGERMANN RD, SAINT PETERS, MO 63304-2821
(636) 800-2157
(636) 800-2159
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2023006444
MO
363LF0000X
Family Nurse Practitioner
209011642
IL
Other
Enumeration date
08/14/2014
Last updated
06/21/2023
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