Kelly D Gage is a Internal Medicine in St. Louis, Missouri. Kelly D Gage practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kelly D Gage is 1710930219. The last update date is 2014-04-18.
Kelly D Gage's current location address is 3844 S Lindbergh Blvd., St. Louis, Missouri. You can contact this provider via phone number 3146982500 and fax number 3146982323. The mailing address for Kelly D Gage is 3844 S Lindbergh Blvd., St. Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly D Gage |
|---|---|
| Address | 3844 S Lindbergh Blvd., St. Louis, Missouri |
| Phone Number | 3146982500 |
| Fax Number | 3146982323 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1710930219 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2014-04-18 |
Provider Mailing Address Detail
| Address | 3844 S Lindbergh Blvd. |
|---|---|
| City | St. Louis |
| State | Missouri (MO) |
| Post Code | 63127 |
| Phone Number | 3146982500 |
| Fax Number | 3146982323 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | R6J64 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P01134613 | MO | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Kelly D Gage by the Centers for Medicare & Medicaid Services?
The Kelly D Gage has been assigned the NPI (National Provider Identifier) 1710930219. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kelly D Gage is physically located?
The Kelly D Gage is physically situated at the following address: 3844 S Lindbergh Blvd., St. Louis, MO, 63127.
What is the Kelly D Gage's specialty and taxonomy code?
The Kelly D Gage's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1710930219 to Kelly D Gage?
The Centers for Medicare & Medicaid Services assigned the 1710930219 to Kelly D Gage on 2006-05-18.
As of what date were the details related to Kelly D Gage most recently updated or revised?
The information pertaining to Kelly D Gage, including its address, specialty, and other relevant details, was last updated or revised on 2014-04-18.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY