SearchVirginia183500000X

Caleb Sample

NPI 1770173445 · on the registry since 2021

Practice

Address
159 Pittston Rd
Lebanon, VA 24266
Phone
(276) 889-5914
Organisation at this address
K-Va-T Food Stores Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-01-26

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 Virginia