Individual
REBEKAH SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 S JACKSON ST RM C1H17, LOUISVILLE, KY 40202-1675
(502) 852-5689
Mailing address
530 S JACKSON ST RM C1H17, LOUISVILLE, KY 40202-1675
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
R7178
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2024
Last updated
12/04/2025
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