Individual
DR. DENISE M. SAMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4111 4TH AVE STE 2, KEARNEY, NE 68845-2883
(308) 237-1102
Mailing address
21 REDWOOD DR, KEARNEY, NE 68845-9582
(308) 224-0131
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
207Q00000X
Family Medicine Physician
17984
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06354
BCBS OF NE
NE
01
—
4366
MIDLANDS CHOICE
NE
Enumeration date
10/02/2006
Last updated
06/09/2020
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