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NPI Code Detail

MEDICARE: SAMANTHA KAMANN LPN

MEDICARE: SAMANTHA KAMANN LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WA0400XAddiction (Substance Use Disorder) Registered NurseLPN.165462.MEDS-IVOH

General Provider Information

NPI Number : 1144821778
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA KAMANN LPN
Provider Business Mailing Address
First Line : 1036 CLEVELAND RD
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-4034
Country : US
Telephone Number : 419-504-0068
Fax Number :
Provider Business Practice Location Address
First Line : 1036 CLEVELAND RD
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-4034
Country : US
Telephone Number : 419-504-0068
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2020
Last Update Date : 11/02/2020

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