Individual
MRS. MARY KATHERINE DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-BC
Contact information
Practice address
10012 KENNERLY RD, SUITE 305, SAINT LOUIS, MO 63128-2197
(314) 525-4325
(314) 525-4365
Mailing address
10012 KENNERLY RD, SUITE 305, SAINT LOUIS, MO 63128-2197
(314) 525-4325
(314) 525-4365
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
094700
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423874908
—
MO
Enumeration date
11/17/2006
Last updated
01/22/2016
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