Individual
KRISTIN SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2621 S 18TH ST, SHEBOYGAN, WI 53081-6117
(920) 918-2760
Mailing address
2621 S 18TH ST, SHEBOYGAN, WI 53081-6117
(920) 918-2760
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
166537-30
WI
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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