Individual
KATHY C. MAUPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10806 OLIVE BLVD, CREVE COEUR, MO 63141-7773
(314) 993-7009
(314) 993-1535
Mailing address
10806 OLIVE BLVD, CREVE COEUR, MO 63141-7773
(314) 993-7009
(314) 993-1535
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R4C42
MO
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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