Individual provider · Type 1 NPI

Kelly Vogel

Pediatric Nurse Practitioner · St. Louis, MO

NPI number 1194472928 Active

Practice location

1465 S Grand Blvd
St. Louis, MO 63104-1003

Mailing address

13000 Butler Crest Dr
St. Louis, MO 63128-4276

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X2022007465 (MO)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1194472928

Kelly Vogel's National Provider Identifier is 1194472928, issued on Mar 2, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on Feb 5, 2025.