IndividualActive
Angelito Samson, M.D.
NPI 1871694174 · Pediatric Adolescent Medicine Physician · Shelbyville, KY
Provider details
- NPI number
- 1871694174
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 29789 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
150 Frankfort Rd Ste 101
Shelbyville, KY 40065-7401
Phone: (502) 647-5468
Fax: (502) 647-7134
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 776879
Chicago, IL 60677-6879
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2022-09-21
- Certified
- 2022-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.