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

Individual provider Pediatrics Physician · NPI 1649618190

Stacey Michelle Kallem, MD is a Pediatrics Physician in Philadelphia, Pennsylvania. Works from 3 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

160 E Erie Ave
Philadelphia, PA 19134-1011
Phone: (215) 427-5985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4701 Sangamore Rd Ste N100, Bethesda, MD 20816-2558 — (914) 919-9200
  • 4625 Lindell Blvd Fl 2, Saint Louis, MO 63108-3739 — (914) 919-9200

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD457727 (PA)

Record details

NPI number1649618190
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2013
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025

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