Search › Missouri › 183500000X
Kayla Boedeker
NPI 1265263917 · on the registry since 2024
Practice
- Address
- 7422 Town Square Ave
O Fallon, MO 63368 - Phone
- (636) 625-5012
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-13
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