Individual
SAMANTHA LEIGH VANCUREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7229 NIGHT STALKER WAY, FORT CAMPBELL, KY 42223
(270) 798-3969
(270) 798-1118
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-3969
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10003002A
IN
363A00000X
Physician Assistant
5627
AZ
363A00000X
Physician Assistant
Primary
7141
GA
Other
Enumeration date
04/15/2014
Last updated
07/30/2025
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