Provider Demographics
NPI:1437850005
Name:KZ PSYCHIATRIC SERVICES LLC
Entity Type:Organization
Organization Name:KZ PSYCHIATRIC SERVICES LLC
Other - Org Name:KZ PSYCHIATRIC SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:ZLATARIC
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:314-606-5562
Mailing Address - Street 1:PO BOX 184
Mailing Address - Street 2:
Mailing Address - City:FESTUS
Mailing Address - State:MO
Mailing Address - Zip Code:63028-0184
Mailing Address - Country:US
Mailing Address - Phone:314-606-5562
Mailing Address - Fax:314-690-4002
Practice Address - Street 1:7141 METROPOLITAN BLVD STE 103
Practice Address - Street 2:
Practice Address - City:BARNHART
Practice Address - State:MO
Practice Address - Zip Code:63012-2604
Practice Address - Country:US
Practice Address - Phone:314-606-5562
Practice Address - Fax:314-690-4002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-13
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty