Individual
DR. KATHERINE ELIZABETH HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14855 N OUTER 40 RD, CHESTERFIELD, MO 63017-2026
(702) 899-0595
(702) 977-1496
Mailing address
PO BOX 74008272, CHICAGO, IL 60674-8272
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2013027011
MO
208100000X
Physical Medicine & Rehabilitation Physician
P7647
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356504385
—
MO
Enumeration date
07/09/2008
Last updated
10/03/2025
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