Most Relevant Information
Provider Data
| NPI Number: | 1003337858 |
| Provider Name: | WILLIAM KELLS BOLAND MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207PE0004X |
| Specialty: | Emergency Medicine |
| License Number: | 2017018434 |
Most Important Dates
| Enumeration Date: | 07/02/2017 |
| Last Updated: | 07/02/2017 |
Provider Practice Location
1 BARNES-JEWISH HOSPITAL PLAZA
ST. LOUIS
MO
63110
Practice Location Phone/Fax
| Phone: | 3143625000 |
| Fax: |
Provider Mailing Location
660 S EUCLID AVE
DEPARTMENT OF EMERGENCY MEDICINE, CAMPUS BOX 8072
SAINT LOUIS
MO
63110
Provider Mailing Phone/Fax
| Phone: | 3143624346 |
| Fax: | 3143620478 |