Healthcare Provider Details

I. General information

NPI: 1184556805
Provider Name (Legal Business Name): KATHRYN KAMPMEINERT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 S WOODS MILL RD
CHESTERFIELD MO
63017-3485
US

IV. Provider business mailing address

58 TOWERBRIDGE PL
SAINT CHARLES MO
63303-4802
US

V. Phone/Fax

Practice location:
  • Phone: 314-434-1500
  • Fax:
Mailing address:
  • Phone: 314-609-4210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: