Dr. Brian J. Kelly
Pediatrician Neonatal-Perinatal Doctor Pediatric Emergency Doctor
11365 Dorsett Rd.
Maryland Heights
, Missouri 63043
Dr. Brian J. Kelly
Pediatrician Neonatal-Perinatal Doctor Pediatric Emergency Doctor
11365 Dorsett Rd.
Maryland Heights
, Missouri 63043
(314) 872-6500
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About
Features
Specialties
- Pediatrician
- Neonatal-Perinatal Doctor
- Pediatric Emergency Doctor
Languages spoken
- English
Location
First Address
- Dr. Brian J. Kelly
- 11365 Dorsett Rd.
- Maryland Heights, MO
- Zip : 63043
- Fax : (314) 872-6500
- Phone : (314) 872-6430
Second Address
- Dr. Brian J. Kelly
- 11365 Dorsett Rd.
- Maryland Heights, MO
- Zip : 63043
- Fax : (314) 872-6500
- Phone : (314) 872-6430
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 105182 | MO |
| N | 2080N0001X | Neonatal-Perinatal Doctor | 105182 | MO |
| N | 2080P0204X | Pediatric Emergency Doctor | 105182 | MO |
National Provider Identifier
| NPI | 1275550717 |
|---|---|
| Provider Name | Dr. Brian J. Kelly |
| First Address | Maryland Heights, MO 63043 |
| Second Address | Maryland Heights, MO 63043 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2006 |
| Last Update Date | 26/03/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036057823 | (05) | IL |
| 207674029 | (05) | MO |
| G92959 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.