Dr. Thomas Kelly Mangelsdorf, M.D.
Psychiatry & Neurology, Psychiatry in St Louis, MO. Individual provider (NPI-1).
NPI number1437397643
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1437397643
- Entity type
- Individual (NPI-1)
- Name
- Dr. Thomas Kelly Mangelsdorf
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 26, 2009
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 26419 | MO | Yes |
Practice location
18 Upper LadueSt Louis, MO 63124-1675
Phone 314-997-5440
Mailing address
18 Upper LadueSt Louis, MO 63124-1675
Phone 314-997-5440
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