Individual
SAMANTHA CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2420 ARGILLITE RD STE B, FLATWOODS, KY 41139-1972
(606) 836-3900
(606) 836-0205
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 836-3900
(606) 836-0205
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC618
KY
Other
Enumeration date
06/27/2017
Last updated
05/22/2020
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