Organization
GERIATRIC PRACTITIONER SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHERINE ANN KUSH DNP, GNP-BC (SOLE MEMBER)
(314) 753-6714
Entity
Organization
Contact information
Practice address
11361 BRIERHALL CIR, MARYLAND HEIGHTS, MO 63043-5002
(314) 753-6714
Mailing address
11361 BRIERHALL CIR, MARYLAND HEIGHTS, MO 63043-5002
(314) 753-6714
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
118164
MO
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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