Individual provider · Type 1 NPI

Kelly Jean Vallar, MD

Surgery Physician · St. Louis, MO

NPI number 1033403589 Active

Practice location

915 N Grand Blvd
St. Louis, MO 63106-1621

Call (314) 652-4100 Map

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Other practice locations

  • 317 S 14th St, Herrin, IL 62948-3671 · (618) 942-2002
  • 55 Lake Ave N, Worcester, MA 01655-0002 · (774) 443-7057
  • 305 W Jackson St Ste 206, Carbondale, IL 62901-1474 · (618) 457-3006

Specialties and licenses

TaxonomyCodeLicense
Surgical Critical Care Physician 2086S0102X2016023747 (MO)
Surgery Physician Primary 208600000X2016023747 (MO)
Critical Care Medicine (Anesthesiology) Physician 207LC0200X2016023747 (MO)
Surgical Critical Care Physician 2086S0102X288139 (MA)
Surgery Physician 208600000X036144868 (IL)
Trauma Surgery Physician 2086S0127X036144868 (IL)
Surgical Critical Care Physician 2086S0102X036144868 (IL)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1033403589

Kelly Jean Vallar, MD's National Provider Identifier is 1033403589, issued on Jun 1, 2011. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 22, 2026.