MEDICARE: KATHERINE LYNN CHEN

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	207VX0000X	Obstetrics Physician	2024028224	MO

General Provider Information

NPI Number	:	1740819937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE LYNN CHEN

Provider Business Mailing Address
First Line	:	2142 N COVE BLVD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-3895
Country	:	US
Telephone Number	:	419-291-2192
Fax Number	:	419-479-3297

Provider Business Practice Location Address
First Line	:	6400 CLAYTON RD STE 2800
Second Line	:
City	:	RICHMOND HEIGHTS
State	:	MO
Zip	:	63117-1997
Country	:	US
Telephone Number	:	314-767-8873
Fax Number	:

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

Provider Enumeration Date	:	04/08/2020
Last Update Date	:	07/23/2024

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Directions to “ KATHERINE LYNN CHEN ” Practice Location

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