Kelley Bass, PA-C

NPI 1316112295 · on the registry since 2008

Practice

Address: 621 S. New Ballas Rd.
Suite 297-A
St. Louis, MO 63141
Phone: (314) 251-6364
Fax: (314) 251-7897
Organisation at this address: M. Edward Mimlitz Pc
Mercy Clinic Children'S Surgery, Llc
Mercy Clinic Burn And Plastic Surgery, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 363AS0400X
363AS0400X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-06-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri