IndividualActive
Kelly Botteron, MD
NPI 1013952860 · Child & Adolescent Psychiatry Physician · Saint Louis, MO
Provider details
- NPI number
- 1013952860
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- R3P75 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4444 Forest Park Ave
Ste 2600
Saint Louis, MO 63108-2212
Phone: (314) 286-1700
Fax: (314) 286-1777
Approximate (ZIP-level) locationGet directions
Mailing address
4511 Forest Park Ave
Saint Louis, MO 63108-2138
Registry dates
- Enumerated
- 2006-06-17
- Last updated
- 2021-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.