Whalio Doctors

NPI 1003272642

Mary Katherine Kinworthy, CRNA

Practitioner Certified Registered Nurse Anesthetist Saint Louis, MO

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
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 2018003033 (MO)

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.