Individual
KATHLEEN ELIZABETH KOENEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
621 S NEW BALLAS RD STE 2007B, SAINT LOUIS, MO 63141-8265
(314) 991-5000
Mailing address
621 S NEW BALLAS RD STE 2007B, SAINT LOUIS, MO 63141-8265
(314) 991-5000
Taxonomy
Speciality
Code
Description
License number
State
163WP1700X
Perinatal Registered Nurse
2011023122
MO
363LW0102X
Women's Health Nurse Practitioner
Primary
2018030053
MO
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
2018030053
MO
Other
Enumeration date
05/18/2018
Last updated
06/19/2023
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