Williams, Kelley Jo

Williams, Kelley Jo is an individual health care provider with primary practice located at 4921 Parkview Pl Div Im Endocrinology, Ste 5C, Saint Louis MO 63110-1032. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Williams, Kelley Jo can be contacted via phone (314) 362-3500.

Contact Information

Primary practice address
4921 Parkview Pl Div Im Endocrinology, Ste 5C Saint Louis MO 63110-1032
Phone: (314) 362-3500
Fax: (314) 230-1119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2020016514 Missouri
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 2020016514 Missouri

Profile Details

NPI number 1255728978
LBN Legal business name Williams, Kelley Jo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2015
Last updated Apr 17th, 2025 - about last year

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 1255728978 NPPES
Missouri MEDICAID 200062554

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