Individual
KELLY CATANZARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12512 TRIPLE OAKS DR, SAINT LOUIS, MO 63128-2039
(314) 680-5551
Mailing address
12512 TRIPLE OAKS DR, SAINT LOUIS, MO 63128-2039
(314) 680-5551
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2014016842
MO
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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