Individual
KIMBERLY ANN HESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
621 S NEW BALLAS RD STE 1001, TOWER B, SAINT LOUIS, MO 63141-8264
(314) 791-9028
Mailing address
621 S NEW BALLAS RD STE 1001, TOWER B, SAINT LOUIS, MO 63141-8264
(314) 791-9028
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2009003431
MO
363A00000X
Physician Assistant
Primary
PA07394
TX
363AM0700X
Medical Physician Assistant
2009003431
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851527469
TRICARE SOUTH
—
05
—
292254401
—
TX
01
—
865N33
BCBS-TX
TX
Enumeration date
06/09/2009
Last updated
06/24/2013
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