Individual
JENNIFER KOCEVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
132 BAYFIELD DR, GLEN CARBON, IL 62034-2983
(618) 696-0478
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2021021548
MO
Other
Enumeration date
07/04/2021
Last updated
07/04/2021
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