Individual
KAREN S SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1907 W SYCAMORE ST, KOKOMO, IN 46901
(765) 456-8900
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
041-339452
IL
363LF0000X
Family Nurse Practitioner
209-005397
IL
363LF0000X
Family Nurse Practitioner
71001644A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71001644A
IN
Other
Enumeration date
09/26/2008
Last updated
06/12/2018
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