Individual provider · Type 1 NPI

Kristy Lynne Wildt, PA-C

Physician Assistant · St. Louis, MO

NPI number 1013095157 Active

Practice location

915 N Grand Blvd, John Cochran Veterans Administration Medical Center
St. Louis, MO 63106-1621

Mailing address

2306 Canyonlands Dr Apt F
Maryland Heights, MO 63043-4520

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2006001360 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1013095157

Kristy Lynne Wildt, PA-C's National Provider Identifier is 1013095157, issued on Nov 2, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Louis, MO. The record was last updated on Jun 30, 2008.