Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carley Johnah Dykstra, PA-C

Individual provider Physician Assistant · NPI 1699300087

Carley Johnah Dykstra, PA-C is a Physician Assistant in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2020.

Licensed in
MO
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9556 Manchester Rd
Saint Louis, MO 63119-1313
Phone: (314) 961-2295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2020000655 (MO)

Record details

NPI number1699300087
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 6, 2020
Last updated in NPPESMarch 6, 2020
Certification dateMarch 6, 2020

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