Miss Kathleen M Kloeckner, ANP-BC | |
100 Medical Plz, Lake St Louis, MO 63367-1366 | |
(314) 808-5963 | |
Not Available |
Full Name | Miss Kathleen M Kloeckner |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 100 Medical Plz, Lake St Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336392711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 145663 (Missouri) | Primary |
Entity Name | St Charles Physician Services Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609317205 PECOS PAC ID: 5698052694 Enrollment ID: O20170428002056 |
Entity Name | Forest Physician Services, Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548791676 PECOS PAC ID: 8325325202 Enrollment ID: O20170502000753 |
Mailing Address | Practice Location Address |
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Miss Kathleen M Kloeckner, ANP-BC 6597 Scanlan Ave, Apt 1e, Saint Louis, MO 63139-2443 Ph: (314) 808-5963 | Miss Kathleen M Kloeckner, ANP-BC 100 Medical Plz, Lake St Louis, MO 63367-1366 Ph: (314) 808-5963 |
Victoria Lynn Hines, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Plz, Lake St Louis, MO 63367 Phone: 636-625-5200 Fax: 636-625-5314 | |
Akiko Okabe, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Plz, Lake St Louis, MO 63367 Phone: 314-317-0600 Fax: 314-317-0606 | |
Molly Lombardo, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Plz Ste 221, Lake St Louis, MO 63367 Phone: 636-625-6041 | |
Katie D Schmidt, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Plz Ste 150, Lake St Louis, MO 63367 Phone: 636-625-2662 | |
Yunhee Choi Cruse, CNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Medical Plz, Lake St Louis, MO 63367 Phone: 636-625-5200 | |
Michelle Louise Wallweber, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21 Meadows Circle Dr Ste 324, Lake St Louis, MO 63367 Phone: 636-389-2488 | |
Katherine Elizabeth Benenati, AGACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Medical Plz Ste 150, Lake St Louis, MO 63367 Phone: 636-625-2662 Fax: 636-625-1644 |