Individual
MRS. KASEY L CARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1390 US HIGHWAY 61 STE G1000, FESTUS, MO 63028-4136
(636) 933-7400
Mailing address
1390 US HIGHWAY 61 STE G1000, FESTUS, MO 63028-4136
(636) 933-7400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2005037008
MO
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204634
BLUE CROSS BLUE SHIELD
MO
01
—
732725
HEALTHLINK
MO
Enumeration date
05/12/2006
Last updated
03/29/2023
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