Whalio Doctors

NPI 1144425083

Kaylea Marie Boutwell, MD

Practitioner Interventional Pain Medicine Physician Chesterfield, MO

Practice location

Address
14825 N Outer 40 Rd Suite 360, Chesterfield, MO 63017-2152
Phone
(314) 336-2570
Fax
(314) 336-2571

Registered specialties (2)

Interventional Pain Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 2009025407 (MO)
Anesthesiology Physician
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 2009025407 (MO)

Registry record

NPI
1144425083
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Jun 2007
Record last updated
24 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.