Individual
KATHERINE ELLEN VENEGONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
105 CREEKSIDE OFFICE DR, WENTZVILLE, MO 63385-3289
(636) 639-6262
Mailing address
7515 YORK DR APT 102, CLAYTON, MO 63105-2934
(636) 358-2752
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2019005981
MO
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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