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Search › Kansas › 1041C0700X

Samantha Mccullough

NPI 1245915594 · on the registry since 2023

Practice

Address
2051 N State St
Iola, KS 66749
Phone
(620) 380-6600
Fax
(620) 577-2134
Organisation at this address
Community Health Center Of Southeast Kansas Inc
Community Health Center Of Southeast Kansas, Inc.
Community Health Center Of Southeast Kansas, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YA0400X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-05-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas