Kelly D Gage, M.D. Valid NPI

Individual provider · Internal Medicine Physician · St. Louis, MO

NPI

1710930219

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

R6J64 (MO)

Sex

Male

Sole proprietor

No

Enumerated

2006-05-18

Last updated

2014-04-18