Individual
KATHLEEN EASTWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
615 S NEW BALLAS RD STE 2009B, SAINT LOUIS, MO 63141-8221
(314) 251-6092
Mailing address
615 S NEW BALLAS RD STE 2009B, SAINT LOUIS, MO 63141-8221
(314) 251-6092
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
121843
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376816157
—
MO
Enumeration date
02/09/2012
Last updated
10/16/2017
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