Individual
KARA MICHELLE WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 US HIGHWAY 61, FESTUS, MO 63028-4100
(636) 933-1000
Mailing address
7 GEMSTONE DR, MILLSTADT, IL 62260-2284
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2023023494
MO
Other
Enumeration date
05/05/2023
Last updated
07/17/2023
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