Alexis Knisley, PA-C

NPI #1306654405 in Lake Saint Louis, Missouri

Provider Information

NPI Number: 1306654405
Entity Type: Individual
Name: Alexis Knisley, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 20, 2024
Last Updated: Jan 24, 2025

Practice Location

Address: 100 MEDICAL PLZ
City: Lake Saint Louis
State: Missouri
ZIP Code: 63367-1366
Phone: (636) 625-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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