Individual
KATIE CALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12700 SOUTHFORK RD STE 280, SAINT LOUIS, MO 63128-3287
(314) 892-6565
(314) 892-4828
Mailing address
12700 SOUTHFORK RD STE 280, SAINT LOUIS, MO 63128-3287
(314) 892-6565
(314) 892-4828
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018023212
MO
363LF0000X
Family Nurse Practitioner
Primary
2022012950
MO
363LF0000X
Family Nurse Practitioner
95010622
CA
Other
Enumeration date
05/23/2019
Last updated
02/18/2026
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