Individual provider · Type 1 NPI

Kassandra Williams, PA-C

Physician Assistant · St. Louis, MO

NPI number 1699495770 Active

Practice location

10012 Kennerly Rd Ste 300
St. Louis, MO 63128-2197

Fax (314) 991-0727

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2022039976 (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 1699495770

Kassandra Williams, PA-C's National Provider Identifier is 1699495770, issued on Aug 30, 2022. 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 19, 2026.