Individual provider · Type 1 NPI

Kristen Doherty, AA-C

Anesthesiologist Assistant · St. Louis, MO

NPI number 1780005488 Active

Practice location

615 S. New Ballas Rd., Dept. Of Anesthesiology
St. Louis, MO 63141

Call (314) 251-4687 Map

Fax (636) 386-7679

Mailing address

339 Consort Dr
Ballwin, MO 63011-4439

Specialties and licenses

Taxonomy	Code	License
Anesthesiologist Assistant Primary	367H00000X	2014016080 (MO)

Anesthesiologist Assistant: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist …

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About NPI 1780005488

Kristen Doherty, AA-C's National Provider Identifier is 1780005488, issued on Dec 23, 2013. The primary taxonomy on file is Anesthesiologist Assistant (367H00000X), and the practice location is in St. Louis, MO. The record was last updated on Oct 15, 2015.