Individual
SAMANTHA KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5100 W BROAD ST, COLUMBUS, OH 43228-1672
(614) 544-1000
Mailing address
992 WINDBOURNE ST, COLUMBUS, OH 43230-5045
(740) 359-8302
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN.410539
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
0020787
OH
Other
Enumeration date
01/18/2023
Last updated
12/30/2023
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