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Individual

SAMANTHA CHESTNUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10301 THRIFT DR APT 103, LOUISVILLE, KY 40223-0096
(317) 697-8466
Mailing address
10301 THRIFT DR APT 103, LOUISVILLE, KY 40223-0096
(317) 697-8466

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
1151514
KY

Other

Enumeration date
10/26/2020
Last updated
10/26/2020
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