Most Relevant Information
Provider Data
| NPI Number: | 1003445404 |
| Provider Name: | KAITLYN STURMER PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/07/2020 |
| Last Updated: | 11/24/2021 |
Provider Practice Location
1201 S GRAND BLVD
SAINT LOUIS
MO
631041016
Practice Location Phone/Fax
| Phone: | 6366759109 |
| Fax: |
Provider Mailing Location
PO BOX 505315
SAINT LOUIS
MO
631505313
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |