Individual
DR. KATHERINE ELIZABETH GOODENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5772
(314) 996-7691
Mailing address
PO BOX 959354, SAINT LOUIS, MO 63195-9354
(314) 996-5772
(314) 996-7691
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2024016078
MO
208M00000X
Hospitalist Physician
Primary
2024016078
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200142533
—
MO
Enumeration date
06/13/2021
Last updated
05/12/2026
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