Individual
KATHLEEN M. FIEGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 E PRIMROSE ST, #300, SPRINGFIELD, MO 65807-5154
(417) 269-3700
(417) 269-3707
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-3700
(417) 269-3707
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2007007766
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107701
—
IL
05
—
205894504
—
MO
Enumeration date
02/07/2006
Last updated
03/07/2023
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