Individual
SAMANTHA PHELPS BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
321 RINGGOLD RD, SOMERSET, KY 42503-3900
(606) 451-1936
Mailing address
14 SHAFTER SHEPOLA RD, SOMERSET, KY 42503-6221
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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