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SAMANTHA STRAIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2301 TERRA CROSSING BLVD, LOUISVILLE, KY 40245-3909
(502) 410-0191
(502) 890-5177
Mailing address
1006 NEW MOODY LN, LA GRANGE, KY 40031-9122
(502) 222-0028
(502) 222-0029

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10001598A
IN
363A00000X
Physician Assistant
Primary
PA1870
KY

Other

Enumeration date
12/05/2013
Last updated
08/15/2023
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