Eastwood, Kathleen

Eastwood, Kathleen is an sole proprietor health care provider with primary practice located at 615 S New Ballas Rd Ste 2009B , Saint Louis MO 63141-8221. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Eastwood, Kathleen can be contacted via phone (314) 251-6092.

Contact Information

Primary practice address
615 S New Ballas Rd Ste 2009B Saint Louis MO 63141-8221
Phone: (314) 251-6092
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 121843 Missouri

Profile Details

NPI number 1376816157
LBN Legal business name Eastwood, Kathleen
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2012
Last updated Oct 16th, 2017 - about 9 years ago

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 1376816157 NPPES
Missouri MEDICAID 1376816157

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