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 is a Neurology Physician 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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