Individual
SHADY ADIB KELEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 VIRGINIA AVE, COLUMBIA, MO 65212-0001
(573) 884-7100
(573) 884-7706
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2012017396
MO
207L00000X
Anesthesiology Physician
2015012491
MO
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2012017396
MO
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2015012491
MO
Other
Enumeration date
07/10/2012
Last updated
04/01/2026
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