Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | R2G88 | MO |
NPI | 1003883430 |
---|---|
Provider Name | Dr. Kathryn Botney |
First Address | Saint Louis, MO 63124-1337 |
Second Address | Saint Louis, MO 63141-8232 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2006 |
Last Update Date | 20/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0700174 | UNITED HEALTHCARE (01) | MO |
100079 | MERCY HEALTH PLAN (01) | MO |
106053 | BLUE SHIELD (01) | MO |
117448 | HEALTHLINK (01) | MO |
202313029 | (05) | MO |
3140746 | CIGNA (01) | MO |
4033 | HEALTHCARE USA (01) | MO |
4078452 | AETNA (01) | MO |
5045 | GROUP HEALTH PLAN (01) | MO |
774260 | FIRST HEALTH (01) | MO |
A28606 | (02) | MO |