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

Mackenzie Kaelyn Poole, MD, MBA

Individual provider Dermatology Physician · NPI 1366295842

Mackenzie Kaelyn Poole, MD, MBA is a Dermatology Physician in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

621 S New Ballas Rd Ste 3019B
Saint Louis, MO 63141-8267
Phone: (314) 509-5305
Fax: (314) 251-4454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 2024020290 (MO)

Record details

NPI number1366295842
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , MBA
Sole proprietorYes
NPI enumeratedApril 8, 2024
Last updated in NPPESJune 6, 2024
Certification dateJune 6, 2024

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