Individual
SAMANTHA KATHRYN INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 SOUTH LIMESTONE STREET SUITE 205, LEXINGTON, KY 40536-0001
(859) 323-1100
Mailing address
900 SOUTH LIMESTONE STREET SUITE 205, LEXINGTON, KY 40536-0001
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
—
—
Other
Enumeration date
06/06/2025
Last updated
05/08/2026
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