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Angelito L Samson, MD
Pediatric Adolescent Medicine Physician in Shelbyville, Kentucky
NPI 1871694174

Angelito L Samson is a Pediatric Adolescent Medicine Physician based in Chicago, KY and is specialized in Adolescent Medicine. Angelito L Samson practices in Shelbyville, KY and has the professional credentials of MD. The NPI Number for Angelito L Samson is 1871694174 and holds a License No. 29789 (Kentucky).

The current practice location address for Angelito L Samson is 150 Frankfort Rd Ste 101, Shelbyville, KY and can be reached out via phone at 502-647-5468 and via fax at 502-647-7134.

Location: 150 Frankfort Rd Ste 101, Shelbyville, KY, 60677-6879
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871694174
Provider Name
Angelito L Samson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
150 Frankfort Rd Ste 101, Shelbyville, KY, 60677-6879
Phone Number
502-647-5468
Fax Number
502-647-7134
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
K140311 01 KY MEDICARE
300056797 05 IN
64297898 05 KY
institution
Provider Business Practice Location Address Details
Address
150 Frankfort Rd Ste 101
City
Shelbyville
State
Kentucky
Zip
40065-7401
Phone Number
502-647-5468
Fax Number
502-647-7134
person
Provider Business Mailing Address Details
Address
150 Frankfort Rd Ste 101
City
Shelbyville
State
Kentucky
Zip
40065-7401
Phone Number
502-647-5468
Fax Number
502-647-7134
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
29789 (Kentucky)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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