Individual
CASEY SAMPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1226 INDEPENDENCE AVE, KENNETT, MO 63857-1316
(573) 250-4456
Mailing address
1226 INDEPENDENCE AVE, KENNETT, MO 63857-1316
(573) 250-4456
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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