Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MACKENZIE KAELYN POOLE, MD, MBA
Active Sole ProprietorMACKENZIE KAELYN POOLE, MD, MBA is a Dermatology healthcare provider located in SAINT LOUIS, Missouri. NPI 1366295842 is currently active in the NPPES registry. Verify at CMS.
Dermatology · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1366295842
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 8, 2024 (2.3095278691781 yrs)
- Last Updated
- Jun 6, 2024
- License
-
2024020290 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
621 S NEW BALLAS RD STE 3019BSAINT LOUIS, MO, 631418267Browse MO providers · Browse ZIP 63141
- Phone
- 3145095305
- Fax
- 3142514454
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT ELIOT ZIEGLER | M.D. | 1437153970 |
| DR. FREDERICK DURLIN BAUSCHARD | M.D. | 1669478558 |
| DR. ERIN SCOTT GARDNER | M.D. | 1285630061 |
| DR. OLIVER A MCKEE | MD | 1366440042 |
| DR. JOHN H UHLEMANN | MD | 1760480081 |
| JEFFREY THOMAS REED | MD | 1205820362 |
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.