Amerson, Kelly

Amerson, Kelly is an individual health care provider with primary practice located at 4901 Forest Park Ave Div Obgyn Family Planning, Ste 710, Saint Louis MO 63108-1495. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Amerson, Kelly can be contacted via phone (314) 362-4211.

Contact Information

Primary practice address
4901 Forest Park Ave Div Obgyn Family Planning, Ste 710 Saint Louis MO 63108-1495
Fax: (888) 315-6494
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 2000151478 Missouri

Profile Details

NPI number 1205993169
LBN Legal business name Amerson, Kelly
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Nov 15th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205993169 NPPES
Missouri MEDICAID 420012144

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