Individual provider · Type 1 NPI

Kyra Skinner, PA-C

Physician Assistant · St. Louis, MO

NPI number 1457100810 Active

Practice location

621 S New Ballas Rd Ste 297A
St. Louis, MO 63141-8200

Call (314) 251-6364 Map

Fax (314) 251-7897

Other practice locations

  • 621 S New Ballas Rd Ste 298A, St. Louis, MO 63141-8200 · (314) 251-6364

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2024013596 (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 1457100810

Kyra Skinner, PA-C's National Provider Identifier is 1457100810, issued on May 16, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Louis, MO. The record was last updated on Dec 17, 2025.