Individual
MRS. KATHLEEN MARIE MONACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1343 VILLAGE DRIVE, ST. JOSEPH, MO 64506
(816) 232-2878
(816) 232-5056
Mailing address
1343 VILLAGE DRIVE, ST. JOSEPH, MO 64506
(816) 232-2878
(816) 232-5056
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
108114
MO
225100000X
Physical Therapist
11 02273
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28076013
BCBS
MO
Enumeration date
02/20/2007
Last updated
07/08/2007
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