Provider Demographics
NPI:1205852449
Name:MOLEY, KELLE H (MD)
Entity Type:Individual
Prefix:DR
First Name:KELLE
Middle Name:H
Last Name:MOLEY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:C B 8064
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-286-2400
Mailing Address - Fax:314-286-2455
Practice Address - Street 1:4444 FOREST PARK AVE STE 3100
Practice Address - Street 2:STE 3100
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-2212
Practice Address - Country:US
Practice Address - Phone:314-286-2400
Practice Address - Fax:314-286-2455
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2018-01-24
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Provider Licenses
StateLicense IDTaxonomies
MOR8P38207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO203337118Medicaid
ILENROLLEDMedicaid
MO072010217Medicare PIN
MO160041435Medicare PIN