Individual
KATHERINE KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4921 PARKVIEW PL, SAINT LOUIS, MO 63110-1032
(314) 681-4552
Mailing address
1101 COURTWOOD CIR, BALLWIN, MO 63011-5108
(314) 681-4552
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017003050
MO
Other
Enumeration date
03/06/2017
Last updated
12/30/2018
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