621 S NEW BALLAS RD SUITE 483A
SAINT LOUIS, MO 63141-8232 US PECOS Enrolled
Overview
Katina M Candee is a Physician Assistant in the SAINT LOUIS area. Katina M Candee primary office location is at 621 S NEW BALLAS RD and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1013351964 and the information was updated approximately 11 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 2013032509 | MO |
| 22905 | CA |
| 8547052-1206 | UT |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Physician Assistant - Taxonomy Code 363A00000X | MO | Y |
| Physician Assistant - Taxonomy Code 363A00000X | CA | N |
| Physician Assistant - Taxonomy Code 363A00000X | UT | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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