Healthcare Provider Details

I. General information

NPI: 1386697985
Provider Name (Legal Business Name): AMY M ZIPPAY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY M KRAMPER M.D.

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 07/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12639 OLD TESSON RD
SAINT LOUIS MO
63128-2786
US

IV. Provider business mailing address

12639 OLD TESSON RD
SAINT LOUIS MO
63128-2786
US

V. Phone/Fax

Practice location:
  • Phone: 314-849-0311
  • Fax: 314-849-4423
Mailing address:
  • Phone: 314-849-0311
  • Fax: 314-849-4423

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number2004007510
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: