Individual
DR. KELLI LEILANI SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1542 TULANE AVE, ROOM 734B, NEW ORLEANS, LA 70112-2865
(504) 568-4748
(504) 568-4633
Mailing address
1542 TULANE AVE FL 7, NEW ORLEANS, LA 70112-2865
(719) 321-6272
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
330923
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2445553
—
LA
Enumeration date
04/17/2017
Last updated
10/26/2022
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