Doctor Name: | MRS. KAREN STEITZ |
NPI Number: | 1154783744 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2001026995 |
Business Practice Address: | 10560 Old Olive Street Rd Creve Coeur, MO - 631415916 |
Business Phone Number: | 3145674707 |
Business Fax Number: | 3145567450 |
Mailing Address: | 10560 Old Olive Street Rd, CREVE COEUR |
State: | MO |
Postal Code: | 631415916 |
Phone Number: | 3145674707 |
Fax Number: | 3145567450 |
NPI Enumeration Date: | 03/23/2016 |
NPI Last Update Date: | 03/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1004X |
License Number: | 2001026995 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Pediatric |
Taxonomy Definition: |