Individual provider · Type 1 NPI
Mallory Keppel
Nurse Practitioner · Wildwood, MO
Practice location
18615 Hardt Rd
Wildwood, MO 63038-1111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 2026038618 (MO) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
Other nurse practitioner providers in Wildwood
About NPI 1558276147
Mallory Keppel's National Provider Identifier is 1558276147, issued on Aug 17, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wildwood, MO. The record was last updated on Aug 17, 2026.