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Contact Information

KAYLEA M BOUTWELL, MD
14825 N OUTER 40 RD
SUITE 360
CHESTERFIELD, MO63017-2152
 Phone: 314-336-2570
 Fax: 314-336-2571
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for KAYLEA M BOUTWELL · (Female)

NPI # 1144425083
Status Active
Credentials MD
Entity Individual
Enumeration date 06/20/2007
Last updated 11/24/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2009025407
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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