MS. STEFANEE L KETH PNP NPI 1912195868

NPI Information

NPI: 1912195868
Provider Name: MS. STEFANEE L KETH, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1 CHILDRENS PL
DIV PED EMERGENCY MED
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 454-2341
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MS. Stefanee L Keth, PNP is a pediatrics nurse practitioner in Saint Louis, MO. MS. Stefanee L Keth, PNP NPI is 1912195868. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 CHILDRENS PL
DIV PED EMERGENCY MED
SAINT LOUIS, MO
ZIP 63110-002
Phone: (314) 454-2341
Fax: (314) 454-4345

The NPI 1912195868 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/4/2007 and was last updated on 11/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	149556	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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