Individual
AMY KATHLEEN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13100 MANCHESTER RD, ST. 250, SAINT LOUIS, MO 63131-1703
(314) 543-4015
Mailing address
13100 MANCHESTER RD, ST. 250, SAINT LOUIS, MO 63131-1703
(314) 543-4015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
110448
MO
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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