MEDICARE: KATHRYN KAMPMEINERT

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	390200000X	Student in an Organized Health Care Education/Training Program		MO

General Provider Information

NPI Number	:	1184556805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN KAMPMEINERT

Provider Business Mailing Address
First Line	:	58 TOWERBRIDGE PL
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63303-4802
Country	:	US
Telephone Number	:	314-609-4210
Fax Number	:

Provider Business Practice Location Address
First Line	:	232 S WOODS MILL RD
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63017-3485
Country	:	US
Telephone Number	:	314-434-1500
Fax Number	:

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

Provider Enumeration Date	:	05/29/2026
Last Update Date	:	05/29/2026

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