Individual
DR. KENNETH V SUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1375 4TH STREET DR NW, HICKORY, NC 28601-2523
(828) 322-4453
(828) 324-9295
Mailing address
1455 25TH AVE DR. NE, HICKORY, NC 28601-9655
(828) 322-4453
(828) 324-9295
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32439
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7980902
—
NC
Enumeration date
09/09/2005
Last updated
06/01/2011
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