Boutwell, Kaylea Marie

Boutwell, Kaylea Marie is an sole proprietor health care provider with primary practice located at 14825 N Outer 40 Rd Suite 360, Chesterfield MO 63017-2152. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is her primary health care specialty. Boutwell, Kaylea Marie can be contacted via phone (314) 336-2570.

Contact Information

Primary practice address
14825 N Outer 40 Rd Suite 360 Chesterfield MO 63017-2152
Phone: (314) 336-2570
Fax: (314) 336-2571
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2009025407 Missouri
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 2009025407 Missouri

Profile Details

NPI number 1144425083
LBN Legal business name Boutwell, Kaylea Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2007
Last updated Nov 24th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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