Kelly E Govro (NPI# 1467638544, PAC ID# 0648327916) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1467638544 |
| PAC ID by PECOS | 0648327916 |
| Professional Enrollment ID | I20090403000056 |
| Full Name | Kelly E Govro |
| Organization Legal Name | PSYCHIATRIC CARE AND RESEARCH CENTER INC |
| Address |
4132 Keaton Crossing Blvd Suite 201 O Fallon MO 63368-8223 |
| Phone Number | 6362443589 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3678710506 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4132 Keaton Crossing Blvd, Suite 201, O Fallon, MO 63368-8223 | 6362443589 | PSYCHIATRIC CARE AND RESEARCH CENTER INC |
| Organization Legal Name | PSYCHIATRIC CARE AND RESEARCH CENTER INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard J Ilivicky | Psychiatry | Psychiatric Care and Research Center Inc | 4132 Keaton Crossing Blvd, Suite 201, O Fallon, MO 63368-8223 |
| John P Canale | Psychiatry | Psychiatric Care and Research Center Inc | 4132 Keaton Crossing Blvd, Suite 201, O Fallon, MO 63368-8223 |
| Street Address |
4132 KEATON CROSSING BLVD SUITE 201 |
| City | O FALLON |
| State | MO |
| Zip | 63368-8223 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard J Ilivicky | Psychiatry | Psychiatric Care and Research Center Inc | 4132 Keaton Crossing Blvd, Suite 201, O Fallon, MO 63368-8223 |
| Janet S Chartrand | Clinical Social Worker | 4132 Keaton Crossing Blvd, Suite 201, Ofallon, MO 63368-8223 | |
| John P Canale | Psychiatry | Psychiatric Care and Research Center Inc | 4132 Keaton Crossing Blvd, Suite 201, O Fallon, MO 63368-8223 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin F Clark | Physical Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Jeffrey S Swank | Physical Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Benjamin L Schaub | Physical Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Donald T Thorsen | Occupational Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Theodore S Rummel | Orthopedic Surgery | Piper Spine Care, PC | 2 Progress Point Pkwy, O Fallon, MO 63368-2205 |
| Michelle L Maloney | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207 |
| Brian Grus | Internal Medicine | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Gloria Michelle P Edacheril | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Bridget Doerr | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Genevieve Catherine Matthews | Internal Medicine | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Find all physicians in zip 63368 | |||
| City | O FALLON |
| Zip Code | 63368 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | O FALLON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kelly E Govro.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.