Individual
ROBERT FRANCIS KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
633 EMERSON RD STE 20, CREVE COEUR, MO 63141-6739
(314) 325-3068
Mailing address
633 EMERSON RD STE 20, CREVE COEUR, MO 63141-6739
(314) 325-3068
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2020042060
MO
363A00000X
Physician Assistant
25MP00522100
NJ
Other
Enumeration date
05/24/2019
Last updated
09/20/2021
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