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Individual

WILLIAM ALBERT KELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8820 LADUE RD., SUITE 309, ST. LOUIS, MO 63124
(314) 754-3245
Mailing address
8820 LADUE RD., SUITE 309, ST. LOUIS, MO 63124
(314) 754-3245

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30934
MO

Other

Enumeration date
08/13/2009
Last updated
08/13/2009
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