Kelly N Botteron MD

NPI 1013952860 - Psychiatry & Neurology - 2084P0804X

NPI Details
NPI 1013952860
Gender Female
Enumeration Date 06/17/2006
Last Updated 11/04/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
24 S KINGSHIGHWAY BLVD
SAINT LOUIS MO, 63108-1301, US
Phone (314) 286-1700
Fax (314) 286-1777
Business Location
660 S EUCLID AVE
C B 8134
SAINT LOUIS MO, 63110-1010, US
Phone (314) 286-1700
Fax (314) 286-1777
Toxanomy
Taxonomy Code 2084P0804X
License State Missouri
License Number R3P75
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According to our database, Dr. Kelly N Botteron MD NPI is 1013952860, taxonomy code is 2084P0804X and license number is R3P75, license state is located at Missouri. Kelly N Botteron MD physically located at 24 S Kingshighway Blvd, Saint Louis MO, 63108-1301. NPI Number Kelly N Botteron MD has the Individual type.

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1013952860 NPI number is provided on an as is basis without warranty of any kind. 1013952860 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly N Botteron MD are for informational purposes only.