Individual
KIMBERLY SUE SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2529 MAPLE AVE, ZANESVILLE, OH 43701-1833
(740) 297-8859
(740) 297-4786
Mailing address
2529 MAPLE AVE, ZANESVILLE, OH 43701-1833
(740) 297-8859
(740) 297-4786
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175T00000X
—
OH
Enumeration date
09/13/2018
Last updated
06/11/2019
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