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Individual

KATHERINE L MULHERIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
128 MATRIX COMMONS DR, FENTON, MO 63026
(636) 349-6850
(636) 349-6641
Mailing address
128 MATRIX COMMONS DR, FENTON, MO 63026-2935
(314) 731-9675
(636) 349-6850

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
105483
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MA5364047
MO
Enumeration date
05/13/2010
Last updated
07/10/2018
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