Kelley Johanna Bass in Chesterfield - Surgical
Kelley Johanna Bass - NPI 1316112295
Kelley Johanna Bass is a Surgical in Chesterfield, Missouri. Kelley Johanna Bass practices all healthcare services and medical treatments related to Surgical. The NPI Number for Kelley Johanna Bass is 1316112295. The last update date is 2008-06-12.
Kelley Johanna Bass's current location address is 15317 Coventry Woods Ct, Chesterfield, Missouri. You can contact this provider via phone number 6362202309. The mailing address for Kelley Johanna Bass is 15317 Coventry Woods Ct, Chesterfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelley Johanna Bass |
|---|---|
| Address | 15317 Coventry Woods Ct, Chesterfield, Missouri |
| Phone Number | 6362202309 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1316112295 |
|---|---|
| Provider Enumeration Date | 2008-04-23 |
| Last Updated Date | 2008-06-12 |
Provider Mailing Address Detail
| Address | 15317 Coventry Woods Ct |
|---|---|
| City | Chesterfield |
| State | Missouri (MO) |
| Post Code | 630177500 |
| Phone Number | 6362202309 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 2008013830 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Post Comment/ Review Below
What is the Kelley Johanna Bass's 1316112295?
The Kelley Johanna Bass's NPI (National Provider Identifier) Number is 1316112295. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kelley Johanna Bass is physically located?
The Kelley Johanna Bass is physically situated at the following address: 15317 Coventry Woods Ct, Chesterfield, MO, 630177500.
What is Kelley Johanna Bass's area of expertise and its corresponding taxonomy classification?
The Kelley Johanna Bass's field of specialization is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1316112295 to Kelley Johanna Bass?
The Centers for Medicare & Medicaid Services originally issued the 1316112295 to Kelley Johanna Bass on 2008-04-23.
When was the information regarding Kelley Johanna Bass, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kelley Johanna Bass, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-06-12.
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