Individual
MS. KATHRYN KAY FREESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 289-7676
Mailing address
6669 KINGSBURY BLVD, UNIVERSITY CITY, MO 63130-4607
(314) 726-2071
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
083251
MO
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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