Individual
MS. MCKENNA ELIZABETH BUCHHEIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11155 DUNN RD, DIV SURG PLASTICS, STE 202N, SAINT LOUIS, MO 63136-6150
(314) 362-7388
(833) 301-0853
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-7388
(833) 301-0853
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2019007494
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220081456
—
MO
Enumeration date
03/07/2019
Last updated
04/15/2025
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