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Kelby Lynn Withrow, PA-C
Physician Assistant in Ballwin, Missouri
NPI 1770048308

Kelby Lynn Withrow is a Physician Assistant based in Saint Louis, MO. Kelby Lynn Withrow practices in Ballwin, MO and has the professional credentials of PA-C. The NPI Number for Kelby Lynn Withrow is 1770048308 and holds a License No. (Missouri).

The current practice location address for Kelby Lynn Withrow is 13861 Manchester Rd, Ballwin, MO and can be reached out via phone at 636-556-0114. You can also correspond with Kelby Lynn Withrow through the mailing address at 4603 MATTIS RD, SAINT LOUIS, MO - 63128-3015 (mailing address contact number: 618-316-8321).

Location: 13861 Manchester Rd, Ballwin, MO, 63128-3015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770048308
Provider Name
Kelby Lynn Withrow
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
13861 Manchester Rd, Ballwin, MO, 63128-3015
Phone Number
636-556-0114
Fax Number
Provider Enumeration Date
02/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13861 Manchester Rd
City
Ballwin
State
Missouri
Zip
63011-4503
Phone Number
636-556-0114
Fax Number
person
Provider Business Mailing Address Details
Address
4603 Mattis Rd
City
Saint Louis
State
Missouri
Zip
63128-3015
Phone Number
618-316-8321
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Specialist/Technologist
Speciality
Athletic Trainer
Taxonomy
2255A2300X
License No.
2022009903 (Missouri)
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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