MRS. KELLEY BASS, PA-C
Physician Assistant - Surgical
Active
Individual
NPI: 1316112295
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Surgical | 363AS0400X | Yes | 2008013830 (MO) |
Frequently Asked Questions
NPI 1316112295 is the National Provider Identifier for MRS. KELLEY BASS, PA-C, a Physician Assistant - Surgical provider located in St. Louis, MO. This NPI was enumerated on April 23, 2008.
MRS. KELLEY BASS, PA-C practices at 621 S. NEW BALLAS RD., SUITE 297-A, St. Louis, MO 63141.
Quick Facts
- NPI
- 1316112295
- Type
- Individual
- Enumerated
- Apr 23, 2008
- Last Updated
- Jun 12, 2008
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