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

Individual provider Physician Assistant · NPI 1912610163

Kathryn Clark, PA-C is a Physician Assistant in Saint Louis, Missouri. Graduated from Saint Louis University School of Medicine in 2023, 3 years ago. Practices with Total Access Urgent Care PC, a 131-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
3
Trained at
Saint Louis University School of Medicine
Licensed in
IL, MO
In the registry since
2023
Specialties on file
2
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) 373-5740
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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 2024007412 (MO)
Physician Assistant Taxonomy 363A00000X · Licence 085.010325 (IL)

Record details

NPI number1912610163
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 3, 2023
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Total Access Urgent Care Pc — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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