Individual
DR. KELLY NICOLE GABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D., BCPP
Contact information
Practice address
4130 LINDELL BLVD, SAINT LOUIS, MO 63108-2914
(314) 603-5223
Mailing address
4130 LINDELL BLVD, SAINT LOUIS, MO 63108-2914
(314) 603-5223
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
2007035425
MO
Other
Enumeration date
11/08/2013
Last updated
03/06/2014
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