Individual
KASSANDRA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10012 KENNERLY RD STE 300, SAINT LOUIS, MO 63128-2197
(309) 265-7877
Mailing address
10012 KENNERLY RD STE 300, SAINT LOUIS, MO 63128-2197
(309) 265-7877
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2022039976
MO
Other
Enumeration date
08/30/2022
Last updated
07/15/2024
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