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Individual

KIRAN SAMPLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3000 Q ST FL 3, SACRAMENTO, CA 95816
(916) 453-4966
(916) 739-1269
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301107853
MI
207Q00000X
Family Medicine Physician
5315071089
MI
208M00000X
Hospitalist Physician
Primary
A156624
CA

Other

Enumeration date
06/03/2015
Last updated
08/24/2018
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