Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KONGKEO THIKY WALTHER, ANP
ActiveMRS. KONGKEO THIKY WALTHER, ANP is a Acute Care Nurse Practitioner healthcare provider located in BRIDGETON, Missouri. NPI 1528433430 is currently active in the NPPES registry. Verify at CMS.
Acute Care Nurse Practitioner · BRIDGETON, MO
Registration Details
- NPI Number
- 1528433430
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 3, 2015 (10.684777615213 yrs)
- Last Updated
- Dec 21, 2023
- License
-
2015040094 (MO)
Practice Information
- Address
-
12774 BOENKER LNBRIDGETON, MO, 630442436Browse MO providers · Browse ZIP 63044
- Phone
- 3142917997
- Fax
- 3147391471
- Primary Specialty
-
Acute Care Nurse Practitioner
363LA2100X
Other Acute Care Nurse Practitioner Providers in BRIDGETON, MO
| Name | Credential | NPI |
|---|---|---|
| STEPHANIE NICOLE PIOTTER | ANP | 1649420233 |
| DARRELL DEMARTINO | FNP-BC, RN, EMT-P | 1669862348 |
| ANNA LEIGH MARTIN | NP | 1558060541 |
| DYLAN SCOTT WORKMAN | — | 1861347486 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.