Provider Demographics
NPI:1497445282
Name:LARKIN, SAMANTHA (MS, RDN, IFNCP)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:LARKIN
Suffix:
Gender:F
Credentials:MS, RDN, IFNCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9304 CHEROKEE PL
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66206-2015
Mailing Address - Country:US
Mailing Address - Phone:913-396-2232
Mailing Address - Fax:
Practice Address - Street 1:9304 CHEROKEE PL
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66206-2015
Practice Address - Country:US
Practice Address - Phone:913-396-2232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered