Vallar, Kelly Jean
Vallar, Kelly Jean is an individual health care provider with primary practice located at 915 N Grand Blvd , Saint Louis MO 63106-1621. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Vallar, Kelly Jean can be contacted via phone (314) 652-4100.Contact Information
Primary practice address
915 N Grand Blvd
Saint Louis MO 63106-1621
Phone: (314) 652-4100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 2016023747 | Missouri |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2016023747 | Missouri |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | 2016023747 | Missouri |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 288139 | Massachusetts |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036144868 | Illinois |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 036144868 | Illinois |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 036144868 | Illinois |
Profile Details
| NPI number | 1033403589 |
|---|---|
| LBN Legal business name | Vallar, Kelly Jean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2011 |
| Last updated | Jan 22nd, 2026 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033403589 | NPPES |
| Missouri | MEDICAID | 200029344 |
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