Individual
MRS. SUMMER NICOLE SUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
105 STATE HIGHWAY 1947 # A, GRAYSON, KY 41143-6825
(606) 475-0152
(606) 474-4240
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100166350
—
KY
Enumeration date
10/13/2006
Last updated
09/25/2024
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