NPI 1134149826

Samantha Shea Petersen

Practitioner Midwife Kansas City, MO

Practice location

Address: 930 Carondelet Dr STE 300, Kansas City, MO 64114-4698
Phone: (816) 941-2700
Mailing address: 15228 S Mullen St, Olathe, KS 66062-3738

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X

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Registry record

NPI: 1134149826
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jul 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.