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NPI Code Detail

MEDICARE: KAYLI SCHOU PA-C

MEDICARE: KAYLI SCHOU PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant085.006942IL
2363A00000XPhysician Assistant2019003363MO

General Provider Information

NPI Number : 1649835455
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLI SCHOU PA-C
Provider Business Mailing Address
First Line : PO BOX 955534
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63195-5534
Country : US
Telephone Number : 636-498-5973
Fax Number :
Provider Business Practice Location Address
First Line : 400 MEDICAL PLZ STE 200
Second Line :
City : LAKE SAINT LOUIS
State : MO
Zip : 63367-1417
Country : US
Telephone Number : 636-625-2662
Fax Number : 636-669-2401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2019
Last Update Date : 05/01/2025

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Directions to “ KAYLI SCHOU PA-C” Practice Location

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