Kelly, Jeannie Chen

Kelly, Jeannie Chen is an individual health care provider with primary practice located at 4901 Forest Park Ave Div Obgyn Mfm And Us, Ste 710, Saint Louis MO 63108-1495. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is her primary health care specialty. Kelly, Jeannie Chen can be contacted via phone (314) 454-8181.

Contact Information

Primary practice address
4901 Forest Park Ave Div Obgyn Mfm And Us, Ste 710 Saint Louis MO 63108-1495
Phone: (314) 454-8181
Fax: (314) 747-1429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2016014394 Missouri
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 2016014394 Missouri

Profile Details

NPI number 1730316761
LBN Legal business name Kelly, Jeannie Chen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2009
Last updated Apr 25th, 2024 - about 7 months 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 1730316761 NPPES
Missouri MEDICAID 200031874

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