NPI 1043327018 · live from the CMS NPI Registry
Kathryn A Bucklen, MD
Pediatrics, Hospice and Palliative Medicine in Saint Louis, MO. National Provider Identifier 1043327018, active.
NPI record
| NPI | 1043327018 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Hospice and Palliative Medicine 2080H0002X |
| Practice location | 1 Childrens Pl, Saint Louis, MO 63110 |
| Practice phone | 314-454-2076 |
| Mailing address | 1 Childrens Pl, Nwt 8328 Cb 8116, Saint Louis, MO 63110 |
| Enumerated | August 24, 2006 |
| Last updated | January 24, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | 2011011348 (MO) |
| Pediatrics, Hospice and Palliative Medicine primary | 2080H0002X | 2011011348 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.