Cafazza, Kaitlyn Mary

Cafazza, Kaitlyn Mary is an individual health care provider with primary practice located at 400 Medical Plz Ste 200 , Lake St Louis MO 63367-1417. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Cafazza, Kaitlyn Mary can be contacted via phone (636) 625-2662.

Contact Information

Primary practice address
400 Medical Plz Ste 200 Lake St Louis MO 63367-1417
Phone: (636) 625-2662
Fax: (636) 625-1186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2011037407 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2008023068 Missouri

Profile Details

NPI number 1992082325
LBN Legal business name Cafazza, Kaitlyn Mary
Credentials APRN, PNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2011
Last updated Jun 13th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992082325 NPPES
Missouri Other 2008023068 MISSOURI STATE BOARD OF NURSING

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