Individual
DR. STEPHEN DARYL SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8300 COLLEGE BLVD STE 320, OVERLAND PARK, KS 66210-2814
(913) 338-0400
(913) 338-0428
Mailing address
8300 COLLEGE BLVD STE 320, OVERLAND PARK, KS 66210-2814
(913) 338-0400
(913) 338-0428
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0425838
KS
2084P0800X
Psychiatry Physician
112877
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
401713
BC&BS OF KC
MO
Enumeration date
07/03/2006
Last updated
10/13/2020
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