Provider Demographics
NPI:1023000932
Name:STEINMANN, KATHRYN C (CNP)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:C
Last Name:STEINMANN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:MS
Other - First Name:KATHRYN
Other - Middle Name:C
Other - Last Name:BRIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1111 W PEARCE BOULEVARD
Mailing Address - Street 2:OUR URGENT CARE
Mailing Address - City:WENTZVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63385
Mailing Address - Country:US
Mailing Address - Phone:636-887-4288
Mailing Address - Fax:636-639-2368
Practice Address - Street 1:1111 W PEARCE BLVD
Practice Address - Street 2:
Practice Address - City:WENTZVILLE
Practice Address - State:MO
Practice Address - Zip Code:63385-1020
Practice Address - Country:US
Practice Address - Phone:636-887-4288
Practice Address - Fax:636-639-2368
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-17
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL229005305164W00000X
MO059840363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1023000932Medicaid