Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathleen Nolan Davis, PA

Individual provider Physician Assistant · NPI 1881289262

Kathleen Nolan Davis, PA is a Physician Assistant in Saint Louis, Missouri. Qualified in 2021, 5 years ago. Practices with Mercy Clinic Gastroenterology LLC, a 65-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

615 S New Ballas Rd Ste 1200
Saint Louis, MO 63141-8221
Phone: (314) 251-2880
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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 2021023487 (MO)

Record details

NPI number1881289262
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 8, 2021
Last updated in NPPESDecember 2, 2022
Certification dateDecember 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mercy Clinic Gastroenterology Llc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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