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Individual

MRS. ELLA KATHLEEN BARBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1 NORMTON DR, SAINT LOUIS, MO 63124-2053
(314) 537-0646
Mailing address
1 NORMTON DR, SAINT LOUIS, MO 63124-2053
(314) 537-0646

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2018007138
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1144837
NCCPA
01
2018007138
PHYSICIAN ASSISTANT LICENSE
MO
Enumeration date
04/03/2018
Last updated
06/10/2021
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