Search › Missouri › 363LP0200X
Kelly Wassel, PNP
NPI 1225303522 · on the registry since 2012
Practice
- Address
- 12360 Manchester Rd
Ste 100
Saint Louis, MO 63131 - Phone
- (314) 966-8500
- Fax
- (314) 996-4499
- Organisation at this address
- Yamuna Mathew Dds Pc
Varicose Vein Center Of St Louis, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363LP0200X
363LP0200X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-06-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri