Individual
SAMANTHA JO MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-6593
(913) 588-5155
Mailing address
4000 CAMBRIDGE ST STE G600, KANSAS CITY, KS 66160-8501
(913) 588-7743
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
C07260
MD
Other
Enumeration date
05/07/2019
Last updated
06/07/2022
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