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Kelly Vogel

Nurse Practitioner, Pediatrics in Saint Louis, MO. Individual provider (NPI-1).

NPI number1194472928
StatusActive
Last updated in NPPESFeb 5, 2025

Details

NPI
1194472928
Entity type
Individual (NPI-1)
Name
Kelly Vogel
Sex
Female
Sole proprietor
No
Enumeration date
Mar 2, 2022
Certification date
Feb 5, 2025
Last updated
Feb 5, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics2022007465MOYes

Practice location

1465 S Grand Blvd
Saint Louis, MO 63104-1003

Phone 618-973-3468

Mailing address

13000 Butler Crest Dr
Saint Louis, MO 63128-4276

Phone 143-858-9010

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