Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kelly Jean Vallar, MD

Individual provider Surgical Critical Care Physician · NPI 1033403589

Dr. Kelly Jean Vallar, MD is a General Surgery in Saint Louis, Missouri. Graduated from University of Missouri, Kansas City, School of Medicine in 2011, 15 years ago. Practices with Southern Illinois Medical Services Nfp, a 332-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Illinois, Massachusetts and Missouri.

Years since qualifying
15
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
IL, MA, MO
In the registry since
2011
Specialties on file
7
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

915 N Grand Blvd
Saint Louis, MO 63106-1621
Phone: (314) 652-4100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2016023747 (MO)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 2016023747 (MO)
Critical Care Medicine (Anesthesiology) Physician Taxonomy 207LC0200X · Licence 2016023747 (MO)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 288139 (MA)
Surgery Physician Taxonomy 208600000X · Licence 036144868 (IL)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence 036144868 (IL)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 036144868 (IL)

Record details

NPI number1033403589
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2011
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Southern Illinois Medical Services Nfp — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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