Individual
CHRISTOPHER L SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1211 MAIN ST, HARTFORD, KY 42347-1619
(270) 274-0480
(270) 274-0482
Mailing address
1020 N MAIN ST, BEAVER DAM, KY 42320-1553
(270) 274-0480
(270) 274-0482
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3006816
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1092419
RN LICENSE
KY
01
—
3006816
APRN LICENSE
KY
Enumeration date
01/28/2011
Last updated
12/08/2014
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