Individual
CATHERINE KAGOTHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1027 BELLEVUE AVE, SAINT LOUIS, MO 63117-1996
(314) 768-5202
Mailing address
1027 BELLEVUE AVE, SAINT LOUIS, MO 63117-1996
(314) 768-5202
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016031428
MO
363LF0000X
Family Nurse Practitioner
209015440
IL
Other
Enumeration date
04/17/2017
Last updated
05/10/2021
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