KEILEN LEIGH-ANN SAM NPI 1114442167

NPI Information

  • NPI: 1114442167
  • Provider Name: KEILEN LEIGH-ANN SAM
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3898 VINEYARD DR
    DUNKIRK, NY
    ZIP 14048
  • Phone: (716) 363-2233

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NPI Details

Keilen Leigh-ann Sam is a family nurse practitioner in Dunkirk, NY. Keilen Leigh-ann Sam NPI is 1114442167. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3898 VINEYARD DR
DUNKIRK, NY
ZIP 14048-559
Phone: (716) 363-2233

The NPI 1114442167 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/11/2017 and was last updated on 6/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse646460-1NEW YORKNo
2363LF0000XNurse PractitionerFamilyF341921-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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