Individual
KELLY VOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(618) 973-3468
Mailing address
13000 BUTLER CREST DR, SAINT LOUIS, MO 63128-4276
(143) 858-9010
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2022007465
MO
Other
Enumeration date
03/02/2022
Last updated
02/05/2025
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