Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kassandra Marie Sakura Samuel

Individual provider Surgery Physician · NPI 1831616911

Kassandra Marie Sakura Samuel is a Surgery Physician in Aurora, Colorado. Works from 2 locations. Licensed in Colorado.

Licensed in
CO
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

12631 E 17th Ave Rm 5403
Aurora, CO 80045-2527
Phone: (303) 724-2680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 240 E Huron St Ste 1-200, Chicago, IL 60611-2909 — (312) 503-7975

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence DR.0071270 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1831616911
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 29, 2017
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

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