Kodak, Samantha Gail

Kodak, Samantha Gail is an sole proprietor health care provider with primary practice located at 151 Rutledge Ave Bldg A , Charleston SC 29425-8903. She recently has only one registered license in Nursing Service Providers / Critical Care Medicine, which is considered as her primary health care specialty. Kodak, Samantha Gail can be contacted via phone (843) 792-3328.

Contact Information

Primary practice address
151 Rutledge Ave Bldg A Charleston SC 29425-8903
Phone: (843) 792-3328
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 818754 New York

Profile Details

NPI number 1831947480
LBN Legal business name Kodak, Samantha Gail
Credentials RN, CCRN, SRNA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2024
Last updated May 8th, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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