Individual
MISS KELLY AKIN SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., C.G.C.
Contact information
Practice address
7120 CLEARVISTA DR STE 5900, INDIANAPOLIS, IN 46256-1714
(317) 621-9210
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
74000091A
IN
170300000X
Genetic Counselor (M.S.)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300034716
—
IN
Enumeration date
01/04/2006
Last updated
04/08/2025
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