Individual
SAMANTHA J SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
44 MCCOY AVE, SUITE 442, MADISONVILLE, KY 42431-2963
(270) 824-6655
(270) 824-6629
Mailing address
44 MCCOY AVENUE, SUITE 442, MADISONVILLE, KY 42431-2963
(270) 824-6655
(270) 824-6629
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
SA162
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000430705
ANTHEM PIN #
KY
01
—
3032
NATIONAL SURGICAL ASSIST ASSOC #
—
01
—
SA162
SURGICAL ASSIST KY BD OF MED LIC #
KY
Enumeration date
08/27/2007
Last updated
03/11/2014
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