Individual
KATHRYN CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(618) 979-6410
Mailing address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(618) 979-6410
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2024004716
MO
Other
Enumeration date
01/03/2023
Last updated
03/11/2024
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