KELLY DOUGHERTY WASSEL

SAINT LOUIS, MO
NPI1225303522
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MO  2012006258)
Enumeration Date2012-03-20
Last Update Date2019-06-13
Business Address
Mrs. KELLY DOUGHERTY WASSEL PNP
12360 MANCHESTER RD STE 100
SAINT LOUIS, MO 63131-4302
Phone number: 314-966-8500
Mailing Address
Mrs. KELLY DOUGHERTY WASSEL PNP
12360 MANCHESTER RD STE 100
SAINT LOUIS, MO 63131-4302
Phone number: 314-966-8500
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