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NPI Code Detail

MEDICARE: SAMANTHA JEAN KNAPP

MEDICARE:   SAMANTHA JEAN KNAPP
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
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General Provider Information

NPI Number : 1811846603
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA JEAN KNAPP
Provider Business Mailing Address
First Line : 911 N COMMERCIAL ST
Second Line :
City : NEVADA
State : MO
Zip : 64772-1623
Country : US
Telephone Number : 417-381-9211
Fax Number :
Provider Business Practice Location Address
First Line : 911 N COMMERCIAL ST
Second Line :
City : NEVADA
State : MO
Zip : 64772-1623
Country : US
Telephone Number : 417-381-9211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2026
Last Update Date : 01/24/2026

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Directions to “ SAMANTHA JEAN KNAPP ” Practice Location

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