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Individual

KATHERINE D SIEBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
F.N.P.

Contact information

Practice address
3619 RICHARDSON SQUARE DR., SUITE 170, ARNOLD, MO 63010
(636) 717-6776
(314) 525-4055
Mailing address
3619 RICHARDSON SQUARE DR., SUITE 170, ARNOLD, MO 63010
(636) 717-6776
(314) 525-4055

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
63255
MO
363L00000X
Nurse Practitioner
Primary
063255
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
428989305
MO
Enumeration date
10/02/2006
Last updated
03/14/2017
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