Individual
MS. KELLI E DEAN RIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14825 N OUTER 40 RD, SUITE 200, CHESTERFIELD, MO 63017-2152
(314) 336-2555
(314) 336-2557
Mailing address
14825 N OUTER 40 RD, SUITE 200, CHESTERFIELD, MO 63017-2152
(314) 336-2555
(314) 336-2557
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2011005765
MO
363A00000X
Physician Assistant
—
—
Other
Enumeration date
03/02/2011
Last updated
11/13/2023
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