Individual provider · Type 1 NPI
Kathryn Ann Hackman, DO
General Practice Physician · Creve Coeur, MO
NPI number
1487099842
Active
Practice location
12609 Olive Blvd
Creve Coeur, MO 63141-6313
Fax (314) 744-8021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 2004033969 (MO) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
About NPI 1487099842
Kathryn Ann Hackman, DO's National Provider Identifier is 1487099842, issued on Apr 30, 2013. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Creve Coeur, MO. The record was last updated on Apr 30, 2013.