Provider Demographics
NPI:1053170431
Name:SAMPEY, KARA JEAN (RN, BSN)
Entity type:Individual
Prefix:MRS
First Name:KARA
Middle Name:JEAN
Last Name:SAMPEY
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:MS
Other - First Name:KARA
Other - Middle Name:JEAN
Other - Last Name:REDINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1100 E COLLEGE AVE LOT 13
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-4982
Mailing Address - Country:US
Mailing Address - Phone:810-220-9080
Mailing Address - Fax:
Practice Address - Street 1:1898 FORT RD
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-8320
Practice Address - Country:US
Practice Address - Phone:307-672-3473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY43885163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice