Individual
KANA MIYATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1008 S. SPRING AVE., SLUCARE ACADEMIC PAVILION, ROOM 2412, NEPHROLOGY, ST. LOUIS, MO 63110
(314) 977-2650
Mailing address
1008 S. SPRING AVE., SLUCARE ACADEMIC PAVILION, ROOM 2412, NEPHROLOGY, ST. LOUIS, MO 63110
(314) 977-2650
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
2020016492
MO
207RN0300X
Nephrology Physician
A127779
CA
Other
Enumeration date
07/21/2011
Last updated
01/12/2021
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