KELBY LYNN WITHROW PA-C NPI 1770048308

NPI Information

  • NPI: 1770048308
  • Provider Name: KELBY LYNN WITHROW, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 13861 MANCHESTER RD
    BALLWIN, MO
    ZIP 63011
  • Phone: (636) 556-0114

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NPI Details

Kelby Lynn Withrow, PA-C is a physician assistant in Ballwin, MO with 4 years of experience. The provider is 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. Kelby Lynn Withrow, PA-C NPI is 1770048308. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13861 MANCHESTER RD
BALLWIN, MO
ZIP 63011-503
Phone: (636) 556-0114

The NPI 1770048308 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Detection test by nucleic acid for multiple types influenza virus (HCPCS:87502)
  • Urea nitrogen level to assess kidney function, quantitative (HCPCS:84520)
  • Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) (HCPCS:80051)
  • Creatine kinase (cardiac enzyme) level, total (HCPCS:82550)
  • Blood creatinine level (HCPCS:82565)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Infusion, normal saline solution , 1000 cc (HCPCS:J7030)
  • Blood glucose (sugar) level (HCPCS:82947)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Urinalysis, manual test (HCPCS:81002)
  • Blood count, hemoglobin (HCPCS:85018)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)

The enumeration date for this NPI number is 2/7/2019 and was last updated on 4/18/2023.

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
12255A2300XSpecialist/TechnologistAthletic TrainerNo
2363A00000XPhysician Assistant2022009903MISSOURIYes

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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