Provider Demographics
NPI:1104823251
Name:VOEGTLE, KAREN ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ANN
Last Name:VOEGTLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3009 N BALLAS RD STE 360C
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-2349
Mailing Address - Country:US
Mailing Address - Phone:314-996-7220
Mailing Address - Fax:314-996-7225
Practice Address - Street 1:3009 N BALLAS RD STE 360C
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131
Practice Address - Country:US
Practice Address - Phone:314-996-7220
Practice Address - Fax:314-996-7225
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000153662207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO205835705Medicaid
MO003013244Medicare PIN
H61717Medicare UPIN