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

Mrs. Kelly Dougherty Wassel, PNP

Individual provider Pediatric Nurse Practitioner · NPI 1225303522

Mrs. Kelly Dougherty Wassel, PNP is a Pediatric Nurse Practitioner in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2012.

Licensed in
MO
In the registry since
2012
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

See every abbreviation used in this directory →

Practice location Address checks out

12360 Manchester Rd Ste 100
Saint Louis, MO 63131-4302
Phone: (314) 966-8500
Fax: (314) 996-4499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 2012006258 (MO)

Record details

NPI number1225303522
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedMarch 20, 2012
Last updated in NPPESJune 13, 2019

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