KEITH EARL MAULLER PA-C NPI 1346325628

NPI Information

  • NPI: 1346325628
  • Provider Name: KEITH EARL MAULLER, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 915 N GRAND BLVD
    SAINT LOUIS, MO
    ZIP 63106
  • Phone: (314) 652-4100

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NPI Details

Keith Earl Mauller, PA-C is a surgical physician assistant in Saint Louis, MO. Keith Earl Mauller, PA-C NPI is 1346325628. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

915 N GRAND BLVD
SAINT LOUIS, MO
ZIP 63106-621
Phone: (314) 652-4100
Fax: (314) 289-7034

The enumeration date for this NPI number is 10/26/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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