MRS. KELLEY JOHANNA BASS (PA-C) – Surgical Physician Assistant, NPI 1316112295
Surgical Physician Assistant
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NPPES metrics only — not quality of care.
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Provider Addresses for MRS. KELLEY JOHANNA BASS (PA-C)
15317, Coventry Woods Court, Chesterfield, Saint Louis County, Missouri, 63017, United States
CHESTERFIELD, MO 630177500
Phone: (636) 220-2309
Type: Mailing
621, South New Ballas Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States
SUITE 297-A
ST. LOUIS, MO 631418200
Phone: (314) 251-6364
Fax: (314) 251-7897
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63017)
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