Fisher, Kathleen L
Fisher, Kathleen L is an individual health care provider with primary practice located at 10012 Kennerly Rd Suite 204, Saint Louis MO 63128-2197. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Fisher, Kathleen L can be contacted via phone (314) 525-1220.Contact Information
Primary practice address
10012 Kennerly Rd Suite 204
Saint Louis MO 63128-2197
Phone: (314) 525-1220
Fax: (314) 842-9952
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 086013 | Missouri |
Profile Details
| NPI number | 1073501102 |
|---|---|
| LBN Legal business name | Fisher, Kathleen L |
| Credentials | RN, BC, ANP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | May 13th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073501102 | NPPES |
| Missouri | MEDICAID | 427628102 |
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