Individual
KRISTINA R. SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
614 E MAIN ST STE B, RADFORD, VA 24141-1818
(540) 731-1600
(540) 731-0720
Mailing address
2000 HEALTH PARK DR FL HP2, BRENTWOOD, TN 37027-4525
(615) 373-7600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004605
VA
Other
Enumeration date
07/14/2014
Last updated
05/27/2020
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