Individual
ALEXIS KNISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 MEDICAL PLZ, LAKE SAINT LOUIS, MO 63367-1366
(636) 625-5200
Mailing address
430 OAK HILL DR, LAKE SAINT LOUIS, MO 63367-1407
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/20/2024
Last updated
01/24/2025
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