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

Mrs. Kelley Johanna Bass, PA-C

Individual provider Surgical Physician Assistant · NPI 1316112295

Mrs. Kelley Johanna Bass, PA-C is a Surgical Physician Assistant in St. Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2008.

Licensed in
MO
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

621 S New Ballas Rd Ste 297-A
St. Louis, MO 63141-8200
Phone: (314) 251-6364
Fax: (314) 251-7897
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2008013830 (MO)

Record details

NPI number1316112295
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 23, 2008
Last updated in NPPESJune 12, 2008

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