Provider Demographics
NPI:1144246380
Name:BUCHOWSKI, KATHERINE P (MD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:P
Last Name:BUCHOWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:J
Other - Last Name:PIYAKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:15455 CONWAY RD STE 117
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-2022
Mailing Address - Country:US
Mailing Address - Phone:314-388-9855
Mailing Address - Fax:314-470-6997
Practice Address - Street 1:15455 CONWAY RD STE 117
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-2022
Practice Address - Country:US
Practice Address - Phone:314-388-9855
Practice Address - Fax:314-470-6997
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20060180572084P0800X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2006018057OtherMISSOURI LICENSE NUMBER
MOBB9827936OtherDEA LICENSE