Individual provider · Type 1 NPI

Kelby Lynn Withrow, PA-C

Physician Assistant · Ballwin, MO

NPI number 1770048308 Active

Practice location

13861 Manchester Rd
Ballwin, MO 63011-4503

Call (636) 556-0114 Map

Mailing address

4603 Mattis Rd
St. Louis, MO 63128-3015

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Physician Assistant Primary 363A00000X2022009903 (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 1770048308

Kelby Lynn Withrow, PA-C's National Provider Identifier is 1770048308, issued on Feb 7, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Ballwin, MO. The record was last updated on Apr 18, 2023.