Mrs. Kongkeo Thiky Walther

ANP | Nurse Practitioner - Acute Care | 9+ years Exp

12774 Boenker Ln, Bridgeton
  Missouri, 63044-2436
314-291-7997
Accepts Medicare Nurse Anesthetist in Bridgeton, Missouri.
Mrs. Kongkeo Thiky Walther is a Bridgeton, Missouri based nurse practitioner with 9 years of experience in Acute Care. She completed her graduation in 2015. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Kongkeo Thiky Walther is 2015040094 for Acute Care in Missouri. Her current practice location is 12774 Boenker Ln, Bridgeton. Patients can reach her at 314-291-7997 or can fax her at 314-739-1471. Mrs. Kongkeo Thiky Walther is ANP with specialization in Acute Care and her NPI number (Unique professional ID assigned by NPPES) is 1528433430.
Mrs. Kongkeo Thiky Walther is a licensed independent practitioner and may autonomously provide care. She provides advanced nursing care across the continuum of health care services to meet the specialized physiologic and psychological needs of patients with acute, critical, and/or complex chronic health conditions. This care is continuous and comprehensive and may be provided in any setting where the patient may be found.
Complete Profile:
Mrs. Kongkeo Thiky Walther speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Mrs. Kongkeo Thiky Walther
Specialization: Acute Care Nurse Practitioner (ACNP)
Gender:Female
Credentials: ANP
Experience: 9+ years
Medical School Attended:Other
Graduation Year:2015
Accepts Medicare Assignment:Yes
Practice Address:12774 Boenker Ln, Bridgeton,
Missouri, 63044-2436
Phone:314-291-7997
Fax:314-739-1471
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 7618275041
Enrollment ID: I20160418001742
NPI Number: 1528433430
NPI Enumeration Date: 03 Dec, 2015
NPI Last Update On: 21 Dec, 2023

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Kongkeo Thiky Walther are as mentioned below.
License NumberSpecializationStateStatus
2015040094Acute Care MissouriPrimary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Mrs. Kongkeo Thiky Walther is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Washington University (9830008770)2368
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Kongkeo Thiky Walther such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
420030952MedicaidMissouri
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Mrs. Kongkeo Thiky Walther
Po Box 776874,
Chicago, Illinois
Zip: 60677-6874
Phone Number: 314-291-7997
Fax Number: 314-739-1471
Patients can reach Mrs. Kongkeo Thiky Walther at 12774 Boenker Ln, Bridgeton, Missouri or can call to book an appointment on 314-291-7997.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.