Individual
SAMANTHA SHEA PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 CARONDELET DR STE 300, KANSAS CITY, MO 64114-4698
(816) 941-2700
Mailing address
15228 S MULLEN ST, OLATHE, KS 66062-3738
(913) 768-6753
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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