Dorsey, Mary Katherine

Dorsey, Mary Katherine is an individual health care provider with primary practice located at 10012 Kennerly Rd Suite 305, Saint Louis MO 63128-2197. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical, which is considered as her primary health care specialty. Dorsey, Mary Katherine can be contacted via phone (314) 525-4325.

Contact Information

Primary practice address
10012 Kennerly Rd Suite 305 Saint Louis MO 63128-2197
Phone: (314) 525-4325
Fax: (314) 525-4365
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical 364SM0705X 094700 Missouri

Profile Details

NPI number 1669546396
LBN Legal business name Dorsey, Mary Katherine
Credentials APN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Jan 22nd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669546396 NPPES
Missouri MEDICAID 423874908

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