Individual
KAREN DITTMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13354 MANCHESTER RD, DES PERES, MO 63131-1737
(314) 475-3126
(314) 475-3127
Mailing address
2307 RANCHLAND DRIVE, QUINCY, IL 62301
(618) 971-5601
(636) 821-1251
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
144077
MO
Other
Enumeration date
02/05/2009
Last updated
08/29/2022
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