Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KELLEY JOHANNA BASS, PA-C
ActiveMRS. KELLEY JOHANNA BASS, PA-C is a Surgical Physician Assistant healthcare provider located in ST. LOUIS, Missouri. NPI 1316112295 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · ST. LOUIS, MO
Registration Details
- NPI Number
- 1316112295
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 23, 2008 (18.325693910627 yrs)
- Last Updated
- Jun 12, 2008
- License
-
2008013830 (MO)
Practice Information
- Address
-
621 S. NEW BALLAS RD.SUITE 297-AST. LOUIS, MO, 631418200Browse MO providers · Browse ZIP 63141
- Phone
- 3142516364
- Fax
- 3142517897
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in ST. LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. ALLISON GRACE TUTTLE | PA-C | 1053359281 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.