Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY KELLY
ActiveAthletic Trainer · ST. LOUIS, MO
Registration Details
- NPI Number
- 1255750840
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2014 (12.033104862137 yrs)
- Last Updated
- Apr 10, 2014
- License
-
940145 (MO)
Practice Information
- Address
-
7220 N LINDBERGHSALYER PERFUSION BLVD STE 360ST. LOUIS, MO, 63042Browse MO providers · Browse ZIP 63042
- Phone
- 3418388300
- Fax
- 3148388304
- Primary Specialty
-
Athletic Trainer
225500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.