Individual
MS. KELSEY MARIE ROSENQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4921 PARKVIEW PL, DEPT OTOLARYNGOLOGY, STE 11A, SAINT LOUIS, MO 63110-1032
(314) 362-7509
(314) 362-7522
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-7509
(314) 362-7522
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
2015015953
MO
235Z00000X
Speech-Language Pathologist
Primary
2015015953
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
460020190
—
MO
Enumeration date
02/12/2015
Last updated
04/17/2025
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