Individual
KATHERINE COATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10004 KENNERLY RD STE 295B, SAINT LOUIS, MO 63128-2177
(314) 740-2949
Mailing address
10004 KENNERLY RD STE 295B, SAINT LOUIS, MO 63128-2177
(314) 740-2949
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2022012549
MO
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2020
Last updated
03/02/2023
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