| Doctor Name: | KATIE ROSE CASEY |
| NPI Number: | 1225452501 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | 2013041621 |
| Business Practice Address: | 1390 Us Highway 61 Suite 2200 Crystal City, MO - 630190000 |
| Business Phone Number: | 6369339300 |
| Business Fax Number: | 6369339114 |
| Mailing Address: | 1390 Us Highway 61, Suite 2200 CRYSTAL CITY |
| State: | MO |
| Postal Code: | 630190000 |
| Phone Number: | 6369339300 |
| Fax Number: | 6369339114 |
| NPI Enumeration Date: | 02/07/2014 |
| NPI Last Update Date: | 02/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 2013041621 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |