Individual provider · Type 1 NPI

Kelly Dougherty Wassel, PNP

Pediatric Nurse Practitioner · St. Louis, MO

NPI number 1225303522 Active

About NPI 1225303522

Kelly Dougherty Wassel, PNP's National Provider Identifier is 1225303522, issued on Mar 20, 2012. 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 Jun 13, 2019.