Withrow, Kelby Lynn

Withrow, Kelby Lynn is an individual health care provider with primary practice located at 13861 Manchester Rd , Ballwin MO 63011-4503. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Withrow, Kelby Lynn can be contacted via phone (636) 556-0114.

Contact Information

Primary practice address
13861 Manchester Rd Ballwin MO 63011-4503
Phone: (636) 556-0114
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2022009903 Missouri

Profile Details

NPI number 1770048308
LBN Legal business name Withrow, Kelby Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2019
Last updated Apr 18th, 2023 - about 2 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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