Physician Assistant
KELLY BLISS PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1831334150 · enumerated 2008-12-16 · record updated 2017-03-15. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 2100 POWELL ST, STE 900, EMERYVILLE, CA, 94608-1844 (510) 851-7423 Fax (510) 879-9120 Google Maps Apple Maps OpenStreetMap
- Practice location 4500 MEMORIAL DR, BELLEVILLE, IL, 62226-5360 (618) 257-6420 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 085003451 IL
In this directory
Locations and evidence
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Practice location
BELLEVILLE, IL, 622265360
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.