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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KAYLEA MARIE BOUTWELL, M.D.

Active Sole Proprietor

DR. KAYLEA MARIE BOUTWELL, M.D. is a Interventional Vascular Surgery healthcare provider located in CHESTERFIELD, Missouri. NPI 1144425083 is currently active in the NPPES registry. Verify at CMS.

Interventional Vascular Surgery · CHESTERFIELD, MO

Registration Details

NPI Number
1144425083
Provider Type
Individual
Gender
Female
NPI Issued
Jun 20, 2007 (19.108484634395 yrs)
Last Updated
Nov 24, 2009
Licenses
2009025407 (MO)
2009025407 (MO)
Sole Proprietor
Yes

Practice Information

Address
14825 N OUTER 40 RD
SUITE 360
CHESTERFIELD, MO, 630172152
Browse MO providers · Browse ZIP 63017
Phone
3143362570
Fax
3143362571
Primary Specialty
Interventional Vascular Surgery
208VP0014X

Other Interventional Vascular Surgery Providers in CHESTERFIELD, MO

Name Credential NPI
DR. ARMIN RAHIMI DO 1326027509
DR. HELEN MAUREEN BLAKE M.D. 1245438597
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.