Individual
AMANDA KAY SHIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
901 KIDWELL DR, VERSAILLES, MO 65084-1784
(573) 378-4666
(573) 378-5099
Mailing address
901 KIDWELL DR, VERSAILLES, MO 65084-1784
(573) 378-4666
(573) 378-5099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2011017330
MO
Other
Enumeration date
06/23/2011
Last updated
12/15/2014
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