National Provider Identifier Database

KELLI SAMPLES, RN – NPI #1265085468
General Practice


Contact Information

KELLI SAMPLES, RN
5770 RIVERSIDE DR., BLDG 601
752 MEDICAL SQUADRON
MARCH AIR RESERVE BASE, CA92518
Phone: 951-655-5167
Fax:
Website:
Specialty Taxonomy Code
* General Practice 163WG0000X

* Indicates primary specialty

NPI Profile & details for KELLI SAMPLES

NPI Number 1265085468
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 07/17/2019
Last updated 07/17/2019 - About 7 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: 95090882
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for KELLI SAMPLES, RN

There are currently no reviews for KELLI SAMPLES, RN


NPIdb - Home
v2.201