Individual
KATHLEEN A JUDKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
11365 DORSETT RD, MARYLAND HEIGHTS, MO 63043-3411
(314) 872-6400
(314) 872-6500
Mailing address
11365 DORSETT RD, MARYLAND HEIGHTS, MO 63043-3411
(314) 872-6400
(314) 872-6500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
147237
MN
363LP0200X
Pediatric Nurse Practitioner
Primary
147237
MO
Other
Enumeration date
02/28/2006
Last updated
02/24/2009
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