Individual
MRS. KELLEY JOHANNA BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
621 S. NEW BALLAS RD., SUITE 297-A, ST. LOUIS, MO 63141-8200
(314) 251-6364
(314) 251-7897
Mailing address
15317 COVENTRY WOODS CT, CHESTERFIELD, MO 63017-7500
(636) 220-2309
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2008013830
MO
Other
Enumeration date
04/23/2008
Last updated
06/12/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us