| Kelby Lynn Withrow, PA-C | |
|
13861 Manchester Rd, Ballwin, MO 63011-4503 | |
| (636) 556-0114 | |
| Not Available |
| Full Name | Kelby Lynn Withrow |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 13861 Manchester Rd, Ballwin, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770048308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2022009903 (Missouri) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Total Access Urgent Care Pc | 8820171929 | 130 |
| Entity Name | Total Access Urgent Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962684886 PECOS PAC ID: 8820171929 Enrollment ID: O20080213000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelby Lynn Withrow, PA-C 4603 Mattis Rd, Saint Louis, MO 63128-3015 Ph: (618) 316-8321 | Kelby Lynn Withrow, PA-C 13861 Manchester Rd, Ballwin, MO 63011-4503 Ph: (636) 556-0114 |
Daniel Charles Mulawa, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15945 Clayton Rd Ste 330, Ballwin, MO 63011 Phone: 636-256-5380 Fax: 636-256-5396 |
Margaret M Connelly, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13861 Manchester Rd, Ballwin, MO 63011 Phone: 636-932-8029 |
Amber Alicia Bertoglio, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13861 Manchester Rd, Ballwin, MO 63011 Phone: 618-615-1193 |
Mary Deane Kitchura, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 15945 Clayton Rd Ste 120a, Ballwin, MO 63011 Phone: 636-256-5000 Fax: 636-256-5100 |
Cynthia R. Krinochkin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12 Hutchinson Rd, Ballwin, MO 63011 Phone: 636-591-1086 |
Sarah Peter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13861 Manchester Rd, Ballwin, MO 63011 Phone: 314-422-5568 |
Ashleigh Ann Glass, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13861 Manchester Rd, Ballwin, MO 63011 Phone: 417-766-8246 |