MEDICARE: KAREN VAN ES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	2011016028	MO

General Provider Information

NPI Number	:	1639616519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN VAN ES

Provider Business Mailing Address
First Line	:	505 COUCH AVE
Second Line	:
City	:	KIRKWOOD
State	:	MO
Zip	:	63122-5577
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 COUCH AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63122-5577
Country	:	US
Telephone Number	:	314-909-6090
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2017
Last Update Date	:	01/30/2017

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Directions to “ KAREN VAN ES ” Practice Location

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