NPI 1003272642
Mary Katherine Kinworthy, CRNA
Practice location
- Address
- 12634 Olive Blvd Dept Anesthesiology, Saint Louis, MO 63141-6337
- Phone
- (800) 862-9980
- Fax
- (314) 362-1185
- Mailing address
- PO Box 60352, Saint Louis, MO 63160-0352
Registered specialties
Certified Registered Nurse Anesthetist
Primary
Registry record
- NPI
- 1003272642
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Jan 2016
- Record last updated
- 25 Apr 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.