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

Miss. Kimberly L Brown, PA-C

Individual provider Physician Assistant · NPI 1205943859

Miss. Kimberly L Brown, PA-C is a Physician Assistant in Saint Louis, Missouri. Qualified in 2004, 22 years ago. Practices with SSM Health Care Group, a 923-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
22
Licensed in
IL, MO
In the registry since
2006
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

1225 S Grand Blvd Fl 3
Saint Louis, MO 63104-1016
Phone: (314) 977-3400
Fax: (314) 977-7613
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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 2007008414 (MO)
Physician Assistant Taxonomy 363A00000X · Licence 085002381 (IL)

Record details

NPI number1205943859
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 23, 2006
Last updated in NPPESFebruary 23, 2021
Certification dateFebruary 23, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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