Individual
DR. SAMANTHA SUE KAPPHAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-8900
Mailing address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-8900
(920) 225-1414
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12901
ND
207R00000X
Internal Medicine Physician
245350
NY
207RC0000X
Cardiovascular Disease Physician
Primary
73723
WI
207RI0011X
Interventional Cardiology Physician
12901
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18216
—
ND
Enumeration date
06/10/2008
Last updated
06/04/2021
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