Individual provider · Type 1 NPI

Kennedy Marie Isaak, PA

Physician Assistant · St. Louis, MO

NPI number 1871254615 Active

Practice location

621 S New Ballas Rd Ste 63B
St. Louis, MO 63141-8251

Call (314) 960-8771 Map

Mailing address

3 Inwood Ct
St. Peters, MO 63376-2613

Other practice locations

  • 12700 Southfork Rd Ste 100, St. Louis, MO 63128-3201 · (314) 251-3500

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2023014817 (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 1871254615

Kennedy Marie Isaak, PA's National Provider Identifier is 1871254615, issued on Jan 4, 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 Apr 1, 2024.