JOHN KELLY

SAINT LOUIS, MO
NPI1710340096
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: FL  ME158542)
Additional Taxonomies207L00000X Anesthesiology
(Licence: DC  MD048478)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-04-03
Last Update Date2022-12-05
Business Address
JOHN KELLY M.D.
1402 S GRAND BLVD
SAINT LOUIS, MO 63104-1004
Phone number: 314-977-9853
Mailing Address
JOHN KELLY M.D.
1402 S GRAND BLVD
SAINT LOUIS, MO 63104-1004
Phone number: 314-977-9853