Individual
MRS. KATHLEEN ANN WENZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 289-6343
(314) 289-6442
Mailing address
46 SMALLING CT, BELLEVILLE, IL 62223-2124
(618) 397-9211
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
057999
MO
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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