MEDICARE: QING KAY LI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	2025044976	MO
2	207ZC0500X	Cytopathology Physician	2025044976	MO
3	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	D64797	MD

General Provider Information

NPI Number	:	1720009533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QING KAY LI M.D.

Provider Business Mailing Address
First Line	:	6201 GREENLEIGH AVE
Second Line	:
City	:	MIDDLE RIVER
State	:	MD
Zip	:	21220-2004
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1402 S GRAND BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63104-1004
Country	:	US
Telephone Number	:	314-617-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	12/18/2025

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Directions to “ QING KAY LI M.D.” Practice Location

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