Katharine Ponzillo
Hospice and Palliative Medicine
3009 N Ballas Rd Ste 383c
Saint Louis
, Missouri 63131
Katharine Ponzillo
Hospice and Palliative Medicine
3009 N Ballas Rd Ste 383c
Saint Louis
, Missouri 63131
(314) 996-4546
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About
Features
Specialties
- Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Katharine Ponzillo
- 3009 N Ballas Rd Ste 383c
- Saint Louis, MO
- Zip : 63131-2324
- Fax : (314) 996-4546
- Phone : (314) 996-4545
Second Address
- Katharine Ponzillo
- 3009 N Ballas Rd Ste 383c
- Saint Louis, MO
- Zip : 63131
- Fax : (314) 996-4546
- Phone : (314) 996-4545
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0002X | Hospice and Palliative Medicine | 102328 | MO |
National Provider Identifier
| NPI | 1184678625 |
|---|---|
| Provider Name | Katharine Ponzillo |
| First Address | Saint Louis, MO 63131-2324 |
| Second Address | Saint Louis, MO 63131 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/05/2006 |
| Last Update Date | 03/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.