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Individual

KAY SUMMERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N

Contact information

Practice address
219 DALE CT, BALLWIN, MO 63011-3005
(314) 805-1148
Mailing address
219 DALE CT, BALLWIN, MO 63011-3005
(314) 805-1148

Taxonomy

Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
2005034649
MO

Other

Enumeration date
10/08/2008
Last updated
10/08/2008
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