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Individual
SAMANTHA KATHRYN INGRAM
Active
Individual
SAMANTHA KATHRYN INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC001
KY
363AM0700X
Medical Physician Assistant
TC001
KY
363AS0400X
Surgical Physician Assistant
TC001
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
06/06/2025
Last updated
05/08/2026
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