Individual
DR. KELLY J LINDSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 PROFESSIONAL DR, SUITE 250, ALTON, IL 62002-5068
(618) 463-8636
(618) 463-8640
Mailing address
660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8512
(314) 448-3791
(314) 996-7658
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-088011
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030688011
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
08/25/2005
Last updated
09/19/2025
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