Richards, Samantha

Richards, Samantha is an individual health care provider with primary practice located at 4123 Dutchmans Ln Ste 503 , Louisville KY 40207-4730. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Richards, Samantha can be contacted via phone (502) 899-6220.

Contact Information

Primary practice address
4123 Dutchmans Ln Ste 503 Louisville KY 40207-4730
Phone: (502) 899-6220
Fax: (502) 599-6205
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3009440 Kentucky

Profile Details

NPI number 1487035689
LBN Legal business name Richards, Samantha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2015
Last updated Jan 31st, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487035689 NPPES
Kentucky MEDICAID 7100393350

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