Individual
KATHRYN MARIE STORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
701 S NEW BALLAS RD STE 510, SAINT LOUIS, MO 63141-8726
(314) 251-6710
Mailing address
701 S NEW BALLAS RD STE 510, SAINT LOUIS, MO 63141-8726
(314) 251-6710
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2024027698
MO
363A00000X
Physician Assistant
PA00653
MS
Other
Enumeration date
01/06/2021
Last updated
10/23/2024
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