Mackenzie Kaelyn Poole, MD, MBA - Dermatology in Saint Louis, MO

Mackenzie Kaelyn Poole, MD, MBA is a Dermatology physician based in Saint Louis, Missouri. Mackenzie Kaelyn Poole is licensed to practice in Missouri (license number 2024020290) and her current practice location is 621 S New Ballas Rd Ste 3019b, Saint Louis, Missouri. She can be reached at her office (for appointments etc.) via phone at (314) 509-5305.

NPI number for Mackenzie Kaelyn Poole is 1366295842 and her current mailing address is 621 S New Ballas Rd Ste 3019b, Saint Louis, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366295842.

Contact Information

Mackenzie Kaelyn Poole, MD, MBA
621 S New Ballas Rd Ste 3019b,
Saint Louis, MO 63141-8267
(314) 509-5305
(314) 251-4454

Map and Direction




Physician's Profile

Full NameMackenzie Kaelyn Poole
GenderFemale
SpecialityDermatology
Location621 S New Ballas Rd Ste 3019b, Saint Louis, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1366295842
  • Provider Enumeration Date: 04/08/2024
  • Last Update Date: 06/06/2024

Medical Identifiers

Medical identifiers for Mackenzie Kaelyn Poole such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366295842NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 2024020290 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mackenzie Kaelyn Poole is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mackenzie Kaelyn Poole, MD, MBA
621 S New Ballas Rd Ste 3019b,
Saint Louis, MO 63141-8267

Ph: (314) 509-5305
Mackenzie Kaelyn Poole, MD, MBA
621 S New Ballas Rd Ste 3019b,
Saint Louis, MO 63141-8267

Ph: (314) 509-5305

Reviews and Comments


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