Individual
DR. KELSEY LAUREN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
347 N LINDBERGH BLVD, CREVE COEUR, MO 63141-7811
(314) 266-2062
Mailing address
333 S DESPLAINES ST STE 201, CHICAGO, IL 60661-5514
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036153625
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
2020006666
MO
207V00000X
Obstetrics & Gynecology Physician
4301510088
MI
207V00000X
Obstetrics & Gynecology Physician
E-16913
AR
207V00000X
Obstetrics & Gynecology Physician
U8938
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200061922
—
MO
Enumeration date
07/18/2016
Last updated
05/14/2024
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