Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Impact Physician Group Neurology LLC

Organization Neurology Physician · NPI 1467340380

Impact Physician Group Neurology LLC provides Neurology Physician services in Saint Louis, Missouri. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10018 Kennerly Rd
Saint Louis, MO 63128-2106
Phone: (314) 208-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X

Record details

NPI number1467340380
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Miller — Ceo · (678) 967-5599
NPI enumeratedJune 27, 2025
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025
Mailing address21 Eastbrook Bnd Ste 218, Peachtree City, GA 30269-1546

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