Individual
KATHRYN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
5 CORRINGTON PL, MASCOUTAH, IL 62258-1344
(618) 795-8249
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
03/12/2025
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