Whalio Doctors

NPI 1245848928

Samantha Danielle Kisamore

Practitioner Nurse's Aide Petersburg, WV

Practice location

Address
12 Maple Hill Ave STE 1, Petersburg, WV 26847-1547
Phone
(304) 257-9298

Registered specialties

Nurse's Aide Primary
Nursing Service Related Providers Taxonomy 376K00000X Licence 80681 (WV)

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.