Individual provider · Type 1 NPI
Mary Deane Kitchura, PA
Physician Assistant · Ballwin, MO
Practice location
15945 Clayton Rd Ste 120A
Ballwin, MO 63011-2490
Fax (636) 256-5100
Mailing address
PO Box 776084
Chicago, IL 60677-6084
Other practice locations
- 9513 Highway 100, New Haven, MO 63068-1300 · (573) 237-6100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 2025040004 (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…
2 other providers at this address
Other physician assistant providers in Ballwin
- Helen Elizabeth Lau, PA-CPhysician Assistant Ballwin, MO NPI 1215457262
- Margaret M. ConnellyPhysician Assistant Ballwin, MO NPI 1376285510
- Amber Alicia Bertoglio, PA-CPhysician Assistant Ballwin, MO NPI 1528506557
- Kelby Lynn Withrow, PA-CPhysician Assistant Ballwin, MO NPI 1770048308
- Sarah Peter, PA-CPhysician Assistant Ballwin, MO NPI 1831699032
- Ashleigh Ann Glass, PA-CPhysician Assistant Ballwin, MO NPI 1992204317
About NPI 1538056148
Mary Deane Kitchura, PA's National Provider Identifier is 1538056148, issued on Jun 18, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Ballwin, MO. The record was last updated on Aug 25, 2026.