| Samantha Davis, MS, CCC-SLP | |
|
3227 Coleman Rd, Paducah, KY 42001-6563 | |
| (270) 442-6399 | |
| (270) 442-6300 |
| Full Name | Samantha Davis |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 3227 Coleman Rd, Paducah, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114347176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SP 0000005002 (Tennessee) | Secondary |
| 235Z00000X | Speech-language Pathologist | SLPLPA00193918 (Kentucky) | Primary |
| Provider Name | Baptist Health Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503 |
| Provider Name | Atlas Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063816940 PECOS PAC ID: 0941523245 Enrollment ID: O20141217001550 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Davis, MS, CCC-SLP 3227 Coleman Rd, Paducah, KY 42001-6563 Ph: (270) 442-6399 | Samantha Davis, MS, CCC-SLP 3227 Coleman Rd, Paducah, KY 42001-6563 Ph: (270) 442-6399 |
Mrs. Amanda Ruth Lane, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 867 Mcguire Ave, Paducah, KY 42001 Phone: 270-442-6168 Fax: 270-443-6211 | |
Julie Blanchard, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 142 Stuart Nelson Park Road, Paducah, KY 42001 Phone: 270-442-9502 Fax: 270-442-1954 | |
Karley Byrd, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4747 Alben Barkley Dr, Paducah, KY 42001 Phone: 270-444-9661 | |
Caitlin Sullivan, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Kiana Ct, Paducah, KY 42001 Phone: 270-443-0681 | |
Erica Allen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 513 N 34th St, Paducah, KY 42001 Phone: 270-564-4112 | |
Kelly Walker, MS., CCC-SLP, ATP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 Bruce Ave, Paducah, KY 42001 Phone: 270-554-8948 |