Bass, Kelley Johanna
Bass, Kelley Johanna is an individual health care provider with primary practice located at 621 S. New Ballas Rd. Suite 297-A, St. Louis MO 63141-8200. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Bass, Kelley Johanna can be contacted via phone (314) 251-6364.Contact Information
Primary practice address
621 S. New Ballas Rd. Suite 297-A
St. Louis MO 63141-8200
Phone: (314) 251-6364
Fax: (314) 251-7897
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 2008013830 | Missouri |
Profile Details
| NPI number | 1316112295 |
|---|---|
| LBN Legal business name | Bass, Kelley Johanna |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2008 |
| Last updated | Jun 12th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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