Russell, Samantha Heather

Russell, Samantha Heather is an individual health care provider with primary practice located at 3901 Rainbow Blvd Mail Stop 2018, Kansas City KS 66160-8500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Russell, Samantha Heather can be contacted via phone (913) 588-9941.

Contact Information

Primary practice address
3901 Rainbow Blvd Mail Stop 2018 Kansas City KS 66160-8500
Phone: (913) 588-9941
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5377031 Kansas

Profile Details

NPI number 1255878740
LBN Legal business name Russell, Samantha Heather
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2017
Last updated Jan 23rd, 2017 - about 7 years 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.

Request for update

Popular Providers