Mrs. Kelly Dougherty Wassel is a Saint Louis, Missouri based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Mrs. Kelly Dougherty Wassel is 2012006258 for Pediatrics in Missouri. Her current practice location is 12360 Manchester Rd, Ste 100, Saint Louis. Patients can reach her at 314-966-8500 or can fax her at 314-996-4499. Mrs. Kelly Dougherty Wassel is PNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1225303522. Mrs. Kelly Dougherty Wassel specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Mrs. Kelly Dougherty Wassel speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mrs. Kelly Dougherty Wassel
Specialization:
Pediatrics Nurse Practitioner (PNP)
Gender:
Female
Credentials:
PNP
Practice Address:
12360 Manchester Rd, Ste 100, Saint Louis, Missouri, 63131-4302
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1225303522
NPI Enumeration Date:
20 Mar, 2012
NPI Last Update On:
13 Jun, 2019
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Kelly Dougherty Wassel are as mentioned below.
License Number
Specialization
State
Status
2012006258
Pediatrics
Missouri
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Kelly Dougherty Wassel such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
420020002
Medicaid
Missouri
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mrs. Kelly Dougherty Wassel 12360 Manchester Rd, Ste 100 Saint Louis, Missouri
Zip:
63131-4302
Phone Number:
314-966-8500
Fax Number:
314-996-4499
Patients can reach Mrs. Kelly Dougherty Wassel at 12360 Manchester Rd, Ste 100, Saint Louis, Missouri or can call to book an appointment on 314-966-8500.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.