Organization
SUMMIT MEDICAL GROUP
Active
Other names
St. Elizabeth Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN LOOMIS (PRESIDENT/CEO)
(859) 344-3733
Entity
Organization
Contact information
Practice address
340 THOMAS MORE PKWY, SU. 160A, CRESTVIEW HILLS, KY 41017-5100
(859) 334-6466
(859) 344-7930
Mailing address
2300 CHAMBER CENTER DR, SU. 200, LAKESIDE PARK, KY 41017-1673
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
04/03/2012
Last updated
04/05/2012
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