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-- CHARLENE VELMA KOEPKE -- CRNA

Individual Provider (NPI-1) Active

Nurse Anesthetist, Certified Registered

Provider Information

NPI Number
1467563023
Provider Type
Individual Provider (NPI-1)
Credentials
CRNA
Status
Active

Contact & Location

Address
10010 KENNERLY RD, SAINT LOUIS, MO, 631282106
Phone
(636) 386-7222
Fax
(636) 386-7810

Specialties & Taxonomies

Nurse Anesthetist, Certified Registered Primary License: MO #094885

All Addresses

MAILING

250 NE MULBERRY SUITE 202

LEE'S SUMMIT, MO, 640864533

(816) 389-4137

LOCATION

10010 KENNERLY RD

SAINT LOUIS, MO, 631282106

(636) 386-7222