Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA DANIELLE KISAMORE
ActiveNurse's Aide · PETERSBURG, WV
Registration Details
- NPI Number
- 1245848928
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 17, 2020 (5.7757415723492 yrs)
- Last Updated
- Jul 17, 2020
- License
-
80681 (WV)
Practice Information
- Address
-
12 MAPLE HILL AVE STE 1PETERSBURG, WV, 268471547Browse WV providers · Browse ZIP 26847
- Phone
- 3042579298
- Primary Specialty
-
Nurse's Aide
376K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.