MEDICARE: KATHARINE PROPST PA-C

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	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1659073658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHARINE PROPST PA-C

Provider Business Mailing Address
First Line	:	522 N NEW BALLAS RD STE 203
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-6819
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	522 N NEW BALLAS RD STE 203
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-6819
Country	:	US
Telephone Number	:	314-569-3323
Fax Number	:

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

Provider Enumeration Date	:	03/21/2023
Last Update Date	:	01/09/2024

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Directions to “ KATHARINE PROPST PA-C” Practice Location

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