Individual
MS. KELLY JEAN DODDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, DIV IM CARDIOLOGY, SAINT LOUIS, MO 63110-1003
(314) 362-1291
(314) 362-4278
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-1291
(314) 362-4278
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2011037546
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
2011037546
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427116009
—
MO
Enumeration date
09/07/2011
Last updated
03/17/2026
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