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Individual

KATHLEEN ELIZABETH ANDERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
KATHLEEN KNEBELSBERG

Contact information

Practice address
3635 VISTA AVE, SAINT LOUIS, MO 63110-2539
(512) 586-9223
Mailing address
3635 VISTA AVE, SAINT LOUIS, MO 63110-2539
(512) 586-9223

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
2008030514
MO

Other

Enumeration date
10/08/2008
Last updated
01/31/2014
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