Individual
MS. STEFANEE L KETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1 CHILDRENS PL, DIV PED EMERGENCY MED, SAINT LOUIS, MO 63110-1002
(314) 454-2341
(314) 454-4345
Mailing address
1 CHILDRENS PL, MSC 8208-16-01, SAINT LOUIS, MO 63110-1002
(314) 454-2341
(314) 454-4345
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
149556
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424029403
—
MO
Enumeration date
10/04/2007
Last updated
08/30/2023
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