Individual
STEPHEN J KELLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6420 CLAYTON RD, SAINT LOUIS, MO 63117-1811
(314) 768-8000
(314) 768-8011
Mailing address
1836 LACKLAND HILL PKWY, ATTN: CREDENTIALING OFFICE, SAINT LOUIS, MO 63146-3572
(314) 989-0300
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
R9G06
MO
Other
Enumeration date
06/07/2006
Last updated
07/09/2007
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