Individual
MISS KATHLEEN M. KLOECKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
100 MEDICAL PLZ, LAKE ST LOUIS, MO 63367-1366
(314) 808-5963
Mailing address
6597 SCANLAN AVE, APT 1E, SAINT LOUIS, MO 63139-2443
(314) 808-5963
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
145663
MO
Other
Enumeration date
10/29/2008
Last updated
05/03/2017
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