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Individual

KAITLYN J STROH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2861 MADISON AVE, GRANITE CITY, IL 62040-3614
(618) 709-7723
Mailing address
2861 MADISON AVE, GRANITE CITY, IL 62040-3614
(618) 709-7723

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
163W00000X
Registered Nurse
2018022299
MO
163WC0200X
Critical Care Medicine Registered Nurse
041520632
IL
363LF0000X
Family Nurse Practitioner
2024019631
MO
363LF0000X
Family Nurse Practitioner
Primary
209.030146
IL

Other

Enumeration date
08/20/2013
Last updated
08/05/2024
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