Individual provider · Type 1 NPI
Kelley Johanna Bass, PA-C
Surgical Physician Assistant · St. Louis, MO
NPI number
1316112295
Active
Practice location
621 S. New Ballas Rd., Suite 297-A
St. Louis, MO 63141-8200
Fax (314) 251-7897
Mailing address
15317 Coventry Woods Ct
Chesterfield, MO 63017-7500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 2008013830 (MO) |
Surgical Physician Assistant: Definition to come...
3 other providers at this address
Other surgical physician assistant providers in St. Louis
- Allison Marie Creswell, PA-CSurgical Physician Assistant St. Louis, MO NPI 1033417639
- Nathan David Collins, PASurgical Physician Assistant St. Louis, MO NPI 1033523436
- Jessica Blechle, PA-CSurgical Physician Assistant St. Louis, MO NPI 1043175615
- Allison Grace Tuttle, PA-CSurgical Physician Assistant St. Louis, MO NPI 1053359281
- Antanisha L. ParksSurgical Physician Assistant St. Louis, MO NPI 1083556427
- Darcie L. Wallace, PA-CSurgical Physician Assistant St. Louis, MO NPI 1083648489
- John Edwin Shuman, PASurgical Physician Assistant St. Louis, MO NPI 1104808625
- Shanna Marie Zwick, PASurgical Physician Assistant St. Louis, MO NPI 1124361605
About NPI 1316112295
Kelley Johanna Bass, PA-C's National Provider Identifier is 1316112295, issued on Apr 23, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in St. Louis, MO. The record was last updated on Jun 12, 2008.