Individual
MICHELLE PATRICIA KALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-6000
Mailing address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
2023020139
MO
2086S0120X
Pediatric Surgery Physician
25MA12648700
NJ
Other
Enumeration date
04/13/2015
Last updated
09/18/2025
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