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Samuel Niedergerke
NPI 1932611779 · on the registry since 2017
Practice
- Address
- 741s Ray Rd
Fort Riley, KS 66442 - Phone
- (573) 230-7959
- Clinicians at this address
- 2
Additional practice sites
- 411 Central Methodist Sq, Fayette, MO
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 2255A2300X
2255A2300X
390200000X - Licence states on file
- IL, KS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-30
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