Individual
MS. KELLY AMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
4901 FOREST PARK AVE, DIV OBGYN FAMILY PLANNING, STE 710, SAINT LOUIS, MO 63108-1495
(314) 362-4211
(888) 315-6494
Mailing address
4901 FOREST PARK AVE, MSC 8064-37-1005, SAINT LOUIS, MO 63108-1495
(314) 362-4211
(314) 747-6722
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2000151478
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420012144
—
MO
Enumeration date
01/02/2007
Last updated
11/15/2021
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