Organization
JAMES E. KELLY M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E. KELLY M.D. (OWNER)
(314) 771-5822
Entity
Organization
Contact information
Practice address
3915 WATSON RD STE 203, SAINT LOUIS, MO 63109-1251
(314) 771-5822
(314) 771-5827
Mailing address
3915 WATSON RD STE 203, SAINT LOUIS, MO 63109-1251
(314) 771-5822
(314) 771-5827
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2006017916
MO
Other
Enumeration date
10/03/2011
Last updated
09/20/2022
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