DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KELLY EILEEN MCDERMOTT, MD

Active

DR. KELLY EILEEN MCDERMOTT, MD is a General Practice healthcare provider located in SAINT LOUIS, Missouri. NPI 1619593258 is currently active in the NPPES registry. Verify at CMS.

General Practice · SAINT LOUIS, MO

Registration Details

NPI Number
1619593258
Provider Type
Individual
Gender
Female
NPI Issued
Jun 19, 2020 (6.1656255167473 yrs)
Last Updated
Apr 17, 2025
Licenses
2023001041 (MO)
2023001041 (MO)

Practice Information

Address
4921 PARKVIEW PL
DIV IM GENERAL MED, STE 12B
SAINT LOUIS, MO, 631101032
Browse MO providers · Browse ZIP 63110
Phone
3147473969
Fax
3149963230
Primary Specialty
General Practice
208D00000X
Additional Specialty
General Practice

Other General Practice Providers in SAINT LOUIS, MO

Name Credential NPI
SUBRAHMANYAM VADLAMANI M.D. 1558355214
DR. SCOTT MICHAEL STARENCHAK MD 1356338107
REX E HUDSON MD 1235113325
TIMOTHY MANUEL M.D. 1689652158
DR. NICKOLE HOFFMAN FORGET MD 1437126927
DR. ADELUOLA G LIPEDE M.D. 1376503250
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.