NPI 1245848928
Samantha Danielle Kisamore
Practice location
- Address
- 12 Maple Hill Ave STE 1, Petersburg, WV 26847-1547
- Phone
- (304) 257-9298
Registered specialties
Nurse's Aide
Primary
Registry record
- NPI
- 1245848928
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Jul 2020
- Record last updated
- 17 Jul 2020
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.