Individual
MRS. EMALEIGH CIEARA SAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 BERT COMBS LAKE RD, MANCHESTER, KY 40962-6113
(606) 813-6456
Mailing address
209 BERT COMBS LAKE RD, MANCHESTER, KY 40962-6113
(606) 813-6456
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1222437
KY
Other
Enumeration date
01/22/2024
Last updated
05/17/2024
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