Terry, Samantha

Terry, Samantha is an individual health care provider with primary practice located at 1401 Harrodsburg Rd Ste A120 , Lexington KY 40504-3779. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Terry, Samantha can be contacted via phone (859) 258-6784.

Contact Information

Primary practice address
1401 Harrodsburg Rd Ste A120 Lexington KY 40504-3779
Phone: (859) 258-6784
Fax: (859) 258-6796
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA726 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA726 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA726 Kentucky

Profile Details

NPI number 1821071408
LBN Legal business name Terry, Samantha
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Mar 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 1821071408 NPPES
Kentucky MEDICAID 95004040

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