Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vitality Medical and Wellness Consulting LLC

Organization Internal Medicine Physician · NPI 1992390421

Vitality Medical and Wellness Consulting LLC is an Internal Medicine Physician in Saint Louis, Missouri. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3009 N Ballas Rd Ste 215B
Saint Louis, MO 63131-2323
Phone: (314) 695-8525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1992390421
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Loden — Ceo · (314) 335-9151
NPI enumeratedMarch 5, 2021
Last updated in NPPESMay 3, 2021
Certification dateApril 23, 2021
Mailing address639 Amberwood Ln, Ballwin, MO 63021-5888

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