Individual
KATHLEEN N. GUERREIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4414 N FLORISSANT AVE, SAINT LOUIS, MO 63107-1812
(314) 898-1700
(314) 814-8542
Mailing address
1717 BIDDLE ST, SAINT LOUIS, MO 63106-3454
(314) 898-1700
(314) 814-8542
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
101797 PNP
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425106804
—
MO
Enumeration date
02/16/2007
Last updated
09/02/2016
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