| Kmgp Holdings Llc | |
|
1400 Triad Center Dr Ste A, Saint Peters, MO 63376-7351 | |
| (314) 254-2188 | |
| (833) 638-0807 |
| Full Name | Kmgp Holdings Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 1400 Triad Center Dr Ste A, Saint Peters, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952069841 | NPI | - | NPPES |
| Provider Name | Attea Catherine Costanzo |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1861846305 PECOS PAC ID: 9739574856 Enrollment ID: I20220328000225 |
| Mailing Address | Practice Location Address |
|---|---|
| Kmgp Holdings Llc 901 Tenlynn Ct, Saint Louis, MO 63124-1250 Ph: (915) 603-7070 | Kmgp Holdings Llc 1400 Triad Center Dr Ste A, Saint Peters, MO 63376-7351 Ph: (314) 254-2188 |
Mrs. Julie Campos, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 600 First Executive Ave, Saint Peters, MO 63376 Phone: 636-477-2400 | |
Sophie Kathryn Blanco, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 141 Weiss Rd, Saint Peters, MO 63376 Phone: 636-851-6100 | |
Abbey Goslin, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4200 N Cloverleaf Dr, Saint Peters, MO 63376 Phone: 636-922-4700 | |
Grace Kane, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 460 Mcmenamy Rd, Saint Peters, MO 63376 Phone: 636-397-3111 | |
Mrs. Elizabeth Renee Sanders, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 68 Savannah Hill Dr, Saint Peters, MO 63376 Phone: 314-486-4443 | |
Ms. Terri Linn Holtgrewe, M.A., CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1725 Thoele Rd, Saint Peters, MO 63376 Phone: 636-851-4511 | |
Mrs. Julia E Crutchfield-keeven, MHS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7898 Veterans Memorial Pkwy, Saint Peters, MO 63376 Phone: 636-474-8032 |