Individual
JOHN SAMPSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LMLP
Contact information
Practice address
210 W 21ST ST, CONCORDIA, KS 66901-5200
(785) 243-8900
(785) 243-8933
Mailing address
423 HOUSTON STREET, PO BOX 747, MANHATTAN, KS 66505-0747
(785) 587-4346
(785) 587-4377
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0358
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070062
BLUE CROSS BLUE SHIELD
KS
Enumeration date
06/14/2006
Last updated
07/08/2007
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