Gage, Kelly D

Gage, Kelly D is an individual health care provider with primary practice located at 3844 S Lindbergh Blvd. Suite 160, St. Louis MO 63127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gage, Kelly D can be contacted via phone (314) 698-2500.

Contact Information

Primary practice address
3844 S Lindbergh Blvd. Suite 160 St. Louis MO 63127
Phone: (314) 698-2500
Fax: (314) 698-2323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R6J64 Missouri

Profile Details

NPI number 1710930219
LBN Legal business name Gage, Kelly D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Apr 18th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710930219 NPPES
Missouri Other P01134613 RAILROAD MEDICARE

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