Individual
KACI SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3655 VISTA AVE, SAINT LOUIS, MO 63110-2539
(314) 577-8350
(314) 268-5410
Mailing address
3635 VISTA AVE, CENTER FOR COMPREHENSIVE CARDIOVASCULAR CARE, SAINT LOUIS, MO 63110-2539
(314) 577-8350
(314) 268-5410
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006714
IL
363AS0400X
Surgical Physician Assistant
2016004102
MO
Other
Enumeration date
02/22/2016
Last updated
01/26/2023
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