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KATHLEEN L FISHER RN, BC, ANP
NPI 1073501102
Nurse Practitioner - Adult Health in Saint Louis, MO

Active since October 12, 2005
10012 KENNERLY RD, SUITE 204, SAINT LOUIS, MO 63128(314) 525-1220(314) 842-9952 Get Directions Write a Review

NPPES record last updated: May 13, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathleen L Fisher Rn, Bc, Anp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN L FISHER RN, BC, ANP (NPI 1073501102) is an individual adult health provider in Saint Louis, Missouri, licensed in Missouri (086013) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1073501102
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKATHLEEN L FISHERCredential: RN, BC, ANP
Location Address10012 KENNERLY RD, SUITE 204Saint Louis, MO 63128-2197
Mailing Address10012 Kennerly Rd, Suite 204Saint Louis, MO 63128-2197 · (314) 525-1220 · Fax (314) 842-9952
Phone(314) 525-1220
Fax(314) 842-9952
Sole ProprietorNo
Enumeration DateOctober 12, 2005
Last NPPES UpdateMay 13, 2014
✔ NPI 1073501102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MO · 086013
10012 KENNERLY RD, Saint Louis, MO 63128
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Other Identifiers 3

Medicaid427628102MO
Medicare ID-Type Unspecified000081407MO
Medicare UPINP75396MO

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTOPHER CHARLES BOWE MD
Internal Medicine
10012 KENNERLY RD, SUITE 102
SAINT LOUIS, MO 63128
St. Louis County (314) 525-4225
DR. YAZAN A ABDALLA M.D.
Internal Medicine (Gastroenterology)
10012 KENNERLY RD, SUITE 404
SAINT LOUIS, MO 63128
St. Louis County (314) 543-5911
JEANE E KIENE FNP-C
Nurse Practitioner (Family)
10012 KENNERLY RD, SUITE 300
SAINT LOUIS, MO 63128
St. Louis County (314) 842-0602
ST ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC
Obstetrics & Gynecology
10012 KENNERLY RD, STE 405
SAINT LOUIS, MO 63128
St. Louis County (314) 525-4880
DR. ROBERT FRED BECKMAN M.D.
Surgery
10012 KENNERLY RD, SUITE 406
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1224
DR. THOMAS BENJAMIN MORRISON MD
Internal Medicine (Cardiovascular Disease)
10012 KENNERLY RD, STE 300
SAINT LOUIS, MO 63128
St. Louis County (314) 842-0602
DR. CHARLES F CAREY M.D.
Internal Medicine (Cardiovascular Disease)
10012 KENNERLY RD, STE 300
SAINT LOUIS, MO 63128
St. Louis County (314) 842-0602
BARRY D. BROWN M.D.
Internal Medicine
10012 KENNERLY RD, SUITE 104
SAINT LOUIS, MO 63128
St. Louis County (314) 543-5911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Fisher's NPI number?

The NPI number for Kathleen Fisher is 1073501102. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Kathleen Fisher located?

Kathleen Fisher practices at 10012 Kennerly Rd Suite 204, Saint Louis, MO 63128. The listed phone number is (314) 525-1220.

What is Kathleen Fisher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Kathleen Fisher was last updated on May 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.