Van Dyke, Samantha Kepler

Van Dyke, Samantha Kepler is an individual health care provider with primary practice located at 152 Burnet St , Charlottesville VA 22902-5501. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Van Dyke, Samantha Kepler can be contacted via phone (703) 851-6414.

Contact Information

Primary practice address
152 Burnet St Charlottesville VA 22902-5501
Phone: (703) 851-6414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 86020035 Virginia

Profile Details

NPI number 1275024259
LBN Legal business name Van Dyke, Samantha Kepler
Credentials MPH, RD
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2018
Last updated May 24th, 2018 - about 8 years ago

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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