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

Samantha Danielle Kisamore

Individual provider Nurse's Aide · NPI 1245848928

Samantha Danielle Kisamore is a Nurse's Aide in Petersburg, West Virginia. Licensed in West Virginia. Registered with an NPI since 2020.

Licensed in
WV
In the registry since
2020

Practice location Address checks out

12 Maple Hill Ave Ste 1
Petersburg, WV 26847-1547
Phone: (304) 257-9298
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence 80681 (WV)

Record details

NPI number1245848928
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 17, 2020
Last updated in NPPESJuly 17, 2020
Certification dateJuly 17, 2020